Difference between revisions of "ACID-BASE ANALYSIS-STEP 4"

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[[Topic summary|<h5>'''TOPIC SUMMARY'''</h5>]]
===== [[Summary Article|'''SUMMARY''']] =====
1. Check the respiratory component.
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<div>1. Check the respiratory component.</div><div><br></div><div> <div>2. In metabolic acidosis, the expected pCO<sub>2</sub> is 15 + actual HC03<sup>-</sup> from the chemistry.</div><div><br></div> </div> <div> <div>3. In metabolic alkalosis, the expected  pCO<sub>2</sub> increases by 0.7 mmHg for every 1 mEq/L increase in the HC03<sup>-</sup> ⇒ 0.7*rise in measured bicarb.</div><div><br></div> </div> <div> <div>4. If higher than expected  pCO<sub>2</sub>  is present in the blood gas results, a <b>respiratory acidosis</b> is present.</div><div><br></div> </div> <div> <div>5. If lower than expected  pCO<sub>2</sub>  is present in the blood gas results, a <b>respiratory alkalosis</b> is present.</div></div></div>
<br/>2. In metabolic acidosis, the expected pCO<sub>2</sub> is 15 + actual HC03<sup>-</sup> from the chemistry.
 
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<br/> 3. In metabolic alkalosis, the expected  pCO<sub>2</sub> increases by 0.7 mmHg for every 1 mEq/L increase in the HC03<sup>-</sup> ⇒ 0.7*rise in measured bicarb.
==Reference(s)==
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Gale, M., Grantham, H., Morley, P. and Parr, M. (2016). Advanced Life Support Level 1: 3rd Australian Edition. Australian Resuscitation Council.
<br/> 4. If higher than expected  pCO<sub>2</sub>  is present in the blood gas results, a <b>respiratory acidosis</b> is present.
<br/>American College Of Surgeons. Committee On Trauma (2012). ATLS : student course manual. Chicago, Ill.: American College Of Surgeons.
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<br/> 5. If lower than expected  pCO<sub>2</sub>  is present in the blood gas results, a <b>respiratory alkalosis</b> is present.


[[Category:Acid-Base Disorders]]
[[Category:Acid-base Disorders]]
[[Category:Advanced Life Support]]
[[Category:Advanced Life Support]]

Latest revision as of 11:31, 1 January 2023

SUMMARY

1. Check the respiratory component.

2. In metabolic acidosis, the expected pCO2 is 15 + actual HC03- from the chemistry.

3. In metabolic alkalosis, the expected pCO2 increases by 0.7 mmHg for every 1 mEq/L increase in the HC03- ⇒ 0.7*rise in measured bicarb.

4. If higher than expected pCO2 is present in the blood gas results, a respiratory acidosis is present.

5. If lower than expected pCO2 is present in the blood gas results, a respiratory alkalosis is present.