UW Department of Family Medicine resident, Allison Hotujec, MD, goes over some sample cases for interpretations of arterial blood gasses in the intensive care unit.
respiratory alkalosis with metabolic acidosis compensation. Anion gap is 30, delta-delta is 11, meaning there is a concurrent metabolic alkalosis raising the bicarb
So PH-7.56 (Alkolosis-Higher than 45 Co2-20(they’re over ventilating)-Could be pain. Etc. under ventilating could kill you so 46+ there’s an issue Bicarbonate which is 17 is very low normal would be 22-26 and this would be a good candidate to administer bicarbonate. So far as respiratory it’s a partially compensated respiratory acidosis. Remember bicarbonate and ph goes hand in hand -Respiratory therapist here
Thank you for the practice. Very helpful video.
thankss
first time I understand the use of fournlas and the chronic and acute it all seems just numbers for me before really thank sis
Thanks 👍
thanks for the video
Awesome 👍,Tq
What is the ABG interpretation of the following case, please?
PH=7.56 & PaCO2= 20 & HCO3= 17
Na+=150 & Cl- =103
Respiratory alkalosis
Respiratory alkalosis with high anion gap metabolic acidosis
respiratory alkalosis with metabolic acidosis compensation. Anion gap is 30, delta-delta is 11, meaning there is a concurrent metabolic alkalosis raising the bicarb
@@Steven-cs4yc it’s partially compensated as well because fully compensated means it would bring the PH back to normal .
So
PH-7.56 (Alkolosis-Higher than 45
Co2-20(they’re over ventilating)-Could be pain. Etc. under ventilating could kill you so 46+ there’s an issue
Bicarbonate which is 17 is very low normal would be 22-26 and this would be a good candidate to administer bicarbonate. So far as respiratory it’s a partially compensated respiratory acidosis. Remember bicarbonate and ph goes hand in hand -Respiratory therapist here