Difference between revisions of "ACID-BASE ANALYSIS-STEP 3"
From NeuroRehab.wiki
(Imported from text file) |
(Imported from text file) |
||
| Line 1: | Line 1: | ||
[[ | [[Summary Article|<h5>'''SUMMARY ARTICLE'''</h5>]] | ||
<br/> | <br/> | ||
<div><div><div><div><div><div>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.</div></div></div></div></div><div><br></div> <div> <div>2. Essentially, what you're doing in this step is reducing the bicarbonate by 1 for every 1 acidic anion that the bicarbonate neutralizes.</div><div><br></div> </div> <div> <div>3. If the measured bicarbonate is less than what is expected, a <b>Normal Anion Gap Metabolic Acidosis (NAGMA) </b>is present.</div><div><br></div> </div> <div> <div>4. If the measured bicarbonate is more than what is expected, a <b>metabolic alkalosis</b> is present.</div><div><br></div> </div> <div> <div>5. NAGMA or a metabolic alkalosis can coexist with a HAGMA.</div> </div> | <div><div><div><div><div><div>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.</div></div></div></div></div><div><br></div> <div> <div>2. Essentially, what you're doing in this step is reducing the bicarbonate by 1 for every 1 acidic anion that the bicarbonate neutralizes.</div><div><br></div> </div> <div> <div>3. If the measured bicarbonate is less than what is expected, a <b>Normal Anion Gap Metabolic Acidosis (NAGMA) </b>is present.</div><div><br></div> </div> <div> <div>4. If the measured bicarbonate is more than what is expected, a <b>metabolic alkalosis</b> is present.</div><div><br></div> </div> <div> <div>5. NAGMA or a metabolic alkalosis can coexist with a HAGMA.</div> </div> | ||
Revision as of 11:26, 19 December 2022
SUMMARY ARTICLE
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.
Reference(s)
Gale, M., Grantham, H., Morley, P. and Parr, M. (2016). Advanced Life Support Level 1: 3rd Australian Edition. Australian Resuscitation Council.
American College Of Surgeons. Committee On Trauma (2012). ATLS : student course manual. Chicago, Ill.: American College Of Surgeons.
