Transcription of Acid/Base and ABG Interpretation Made Simple
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Acid/Base and ABG Interpretation Made Simple
Acid/Base and ABG Acid/Base and ABG Interpretation made Interpretation made SimpleSimpleAA--a Gradienta Gradient FIO2 = PA O2 + (5/4) PaCO2 FIO2 = PA O2 + (5/4) PaCO2 FIO2 = 713 x O2%FIO2 = 713 x O2% AA--a gradient = PA O2 a gradient = PA O2 --PaO2 PaO2 Normal is 0 Normal is 0--10 mm Hg10 mm Hg + x age in + x age in years With higher inspired O2 concentrations, With higher inspired O2 concentrations, the Athe A--a gradient will also increasea gradient will also increasePaO2 PaO2--FiO2 ratioFiO2 ratio Normal PaO2/FiO2 is 300 Normal PaO2/FiO2 is 300--500500 <250 indicates a clinically significant gas <250 indicates a clinically significant gas exchange derangementexchange derangement Ratio often used clinically in ICU settingRatio often used clinically in ICU settingHypoxemiaHypoxemia HypoventilationHypoventilation V/Q mismatchV/Q mismatch RightRight--Left shuntingLeft shunting Diffus
Interpretation Made Simple. A-a Gradient ... OR Last two digits of pH should equal PCO2 if equal = no respiratory disturbances if PCO2 high = overlapping respiratory acidosis if PCO2 low = overlapping respiratory alkalosis. Metabolic Acidosis, cont.
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