Difference between revisions of "ACID-BASE ANALYSIS-STEP 3"
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[[Summary Article| | ===== [[Summary Article|'''SUMMARY''']] ===== | ||
1. If the AG is elevated, calculate the expected bicarbonate using 25 - change in AG. If the AG is not elevated, the expected bicarbonate is 25. | |||
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<br/> 2. Essentially, what you're doing in this step is reducing the bicarbonate by 1 for every 1 acidic anion that the bicarbonate neutralizes. | |||
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<br/> 3. If the measured bicarbonate is less than what is expected, a <b>Normal Anion Gap Metabolic Acidosis (NAGMA) </b>is present. | |||
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<br/> 4. If the measured bicarbonate is more than what is expected, a <b>metabolic alkalosis</b> is present. | |||
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<br/> 5. NAGMA or a metabolic alkalosis can coexist with a HAGMA. | |||
[[Category:Acid-base Disorders]] | [[Category:Acid-base Disorders]] | ||
[[Category:Advanced Life Support]] | [[Category:Advanced Life Support]] | ||
Latest revision as of 08:39, 30 December 2022
SUMMARY
1. If the AG is elevated, calculate the expected bicarbonate using 25 - change in AG. If the AG is not elevated, the expected bicarbonate is 25.
2. Essentially, what you're doing in this step is reducing the bicarbonate by 1 for every 1 acidic anion that the bicarbonate neutralizes.
3. If the measured bicarbonate is less than what is expected, a Normal Anion Gap Metabolic Acidosis (NAGMA) is present.
4. If the measured bicarbonate is more than what is expected, a metabolic alkalosis is present.
5. NAGMA or a metabolic alkalosis can coexist with a HAGMA.
