0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap...

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Page 1: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 3: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

pH. PaC02

HC03

Anion Gap Acidosis

Alkalosis

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?

Respiratory

Metabolic

ABG’s ??

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pH

SID

Henderson-Hasselbalch

Base Excess

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Page 6: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 7: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 8: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 9: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

;&1.4"%+*()*+,"/+/($7(a([TQU(L+1F(5"3#.%("3( ((• !.2/&,(4E("5&("G(G"23(#&*F.5+/#/(

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Page 10: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

;&1.4"%+*()*+,"/+/(• ZF3&.1/(1"(%+G&(

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(Halperin, Mitchell L., Kamel, S. and Goldstein, Marc B. (2010) Fluid, Electrolyte and Acid-Base Physiology: A Problem Based Approach, Fourth Edition. Philadelphia, PA. Saunders Elsevier.

Page 11: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

)5+"5(Y.$(• ()Y(_(J<. N(J7!^ !% (• ZF3&&(*%+5+*.%(.$$%+*.1+"5/(

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Marini, John J. and Wheeler, Arthur P. (2010) Critical Care Medicine: The Essentials Fourth Edition. Philadelphia, PA. Lippincott, Williams and Wilkins.

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)5+"5(Y.$(

http://www.flickr.com/photos/dokidok/2369729114/in/photostream/

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),C2/1&,()5+"5(Y.$(

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Example: Pt. albumin 2.0g/dL and AG 15 15 + 2.5 x (4 – 2) = 15 + 5 Adjusted AG = 20

Page 14: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 15: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 16: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 17: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 19: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Marini, John J. and Wheeler, Arthur P. (2010) Critical Care Medicine: The Essentials Fourth Edition. Philadelphia, PA. Lippincott, Williams and Wilkins.

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?&/$+3.1"3E()*+,"/+/((• $7( (• 0&*3&./&,(8&51+%.1+"5(

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Page 21: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

6E#$1"#/("G(?&/$+3.1"3E()*+,"/+/(• 7&.,.*F&(• -%233&,(8+/+"5(• ?&/1%&//5&//(• )5'+&1E(• Z3&#"3/(• )/1&3+'+/(• 0&%+3+2#(• 6"#5"%&5*&(• 7E$"1&5/+"5(LF&5($7(G.%%/(4&%"L([TM^(

Page 22: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 23: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Page 24: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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Emmett, M., Sterns, Richard H. and Forman, John P. (2013) Simple and mixed acid-base disorders. http://www.uptodate.com.proxy.library.vanderbilt.edu/contents/simple-and-mixed-acid-base-disorders?detectedLanguage=en&source=search_result&search=winters+formula&selectedTitle=1~2&provider=noProvider#H365263262 8/7/2013

Page 27: 0+/1234.5*&/( - Vanderbilt University Medical Center acid base.pdf · pH. PaC02 HC03 Anion Gap Acidosis Alkalosis û/ û? Respiratory Metabolic ABG’s ?? ?? pH SID Henderson-Hasselbalch

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(Emmett, M., Sterns, Richard H. and Forman, John P. (2013) Simple and mixed acid-base disorders. http://www.uptodate.com.proxy.library.vanderbilt.edu/contents/simple-and-mixed-acid-base-disorders?detectedLanguage=en&source=search_result&search=winters+formula&selectedTitle=1~2&provider=noProvider#H365263262 8/7/2013

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)*+,>-./&(<"#"I3.#(

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`'$&*1&,(!"#$&5/.1+"5(G"3()*+,>-./&(0+/"3,&3/(

5+,23+6(7,'"+-&+( 5+,23+6()*3!8&( )"2/&!'3#"+6()*3!8&( 9:/&4#&-()"2/&!'3#,"!(

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Marini, John J. and Wheeler, Arthur P. (2010) Critical Care Medicine: The Essentials Fourth Edition. Philadelphia, PA. Lippincott, Williams and Wilkins.

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