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Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -

+ Alkalosis ... acidosis pH ↑ ... pH ↑ pCO2 ↓ - ... pH ↓ pCO2 ↑ - ... #alkalosis

Blood Gas Analysis and Interpretation
STEPS TO ANALYSIS
1. Look at PH. Alkalotic or acidotic?

Look at PH. ... Alkalotic or acidotic ... - If alkalotic, ... component agrees with pH ... Whichever agrees with pH

Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
• Metabolic Acidosis (HCO3 < 24mmol/L) CO2

Algorithm Acidemia (pH ... • Metabolic Acidosis ... • Respiratory Acidosis ... mmHg) Alkalemia (pH ... • Metabolic Alkalosis

Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the

Gas Analysis 1. pH ... production Respiratory alkalosis ... Salicylates Metabolic Alkalosis ... - Contraction alkalosis ... #alkalosis #metabolic

Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)

or alkalotic than ... adding ~0.05 to pH ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... #alkalosis

Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation:
1. Acidemia or Alkalemia?
2.

Normal Values • pH ... Alkalemia: • pH ... = Acidemia • pH ... Metabolic: pH ... ↑ ↓ Resp Alkalosis

Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all

has a primary alkalosis ... has a primary acidosis ... >40 patient's alkalosis ... >40 patient's acidosis ... <40 patient's acidosis

Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the

three variables (pH ... Nephro #AcidBase #Acidosis ... #Alkalosis #Metabolic

Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?

or an alkalosis ... Look at the pH 2 ... direction of the pH ... problem, is the pH ... #Alkalosis #Diagnosis

Arterial Blood Gas (ABG) Interpretation
• AG/non-AG Metabolic Acidosis
• AG Acidosis "Delta/Delta"
• Metabolic Alkalosis

non-AG Metabolic Acidosis ... • AG Acidosis ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... #alkalosis

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