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2024-10-31 07:08本頁(yè)面
【正文】 losis ?,第十八頁(yè)，共四十六頁(yè)。,ABG Interpretation,ABG pH 7.67, PCO2 30 mmHg, HCO3 34 mmol/L, Na 140 mmol/L, K 3 mmol/L, Cl 94 mmol/L Calculation AG = 140 – 94 – 34 = 12 ?HCO3 = 2 (?PCO2 / 10) = 2 x 10 / 10 = 2 mmHg Interpretation Mixed metabolic and respiratory alkalosis,第二十頁(yè)，共四十六頁(yè)。,ABG Interpretation,ABG pH 7.33, PCO2 70 mmHg, HCO3 36 mmol/L, Na 140 mmol/L, K 4.0 mmol/L, Cl 94 mmol/L Calculation AG = 140 – 94 – 36 = 10 ?HCO3 = 3.5 (?PCO2 / 10) = 3.5 x 30 / 10 = 10.5 mmHg Interpretation Simple chronic respiratory acidosis,第二十二頁(yè)，共四十六頁(yè)。,ABG Interpretation,ABG pH 7.11, PCO2 16 mmHg, HCO3 5 mmol/L, Na 140 mmol/L, K 4.5 mmol/L, Cl 125 mmol/L Calculation AG = 140 – 125 – 5 = 10 ?PCO2 = 11 mmHg Interpretation Simple hyperchloremic metabolic acidosis,第二十四頁(yè)，共四十六頁(yè)。,ABG Interpretation,ABG pH 7.11, PCO2 16 mmHg, HCO3 5 mmol/L, Na 140 mmol/L, K 4.0 mmol/L, Cl 115 mmol/L Calculation AG = 140 – 115 – 5 = 20 ?PCO2 = 11 mmHg Interpretation Mixed hyperchloremic and high AG metabolic acidosis,第二十六頁(yè)，共四十六頁(yè)。,Mixed AcidBase Disorders,ABG pH 7.32, PCO2 28 mmHg, HCO3 14 mmol/L, BUN 100 mmol/L Interpretation Acidemic with low PCO2 and low bicarbonate concentration Low bicarbonate as a primary disorder – metabolic acidosis (secondary to renal failure) PaCO2 30 in the presence of low HCO3 – primary respiratory alkalosis,PaCO2 30 in the presence of low HCO3 – primary respiratory alkalosis,第二十八頁(yè)，共四十六頁(yè)。,Mixed AcidBase Disorders ?,ABG pH 7.50, PCO2 38 mmHg, HCO3 31 mmol/L, K 3.5 mmol/L Interpretation Alkalemic with low PCO2 and high bicarbonate concentration High HCO3 as a primary disorder – metabolic alkalosis PCO2 55 in the presence of elevated HCO3 – primary respiratory alkalosis,PCO2 55 in the presence of elevated HCO3 – primary respiratory acidosis,第三十頁(yè)，共四十六頁(yè)。,Is There Another Solution ?,第三十二頁(yè)，共四十六頁(yè)。,The Relation Between Level of Anion Gap and Biochemical Diagnoses in 51 Patients Without Renal Failure*,第三十四頁(yè)，共四十六頁(yè)。,Respiratory Alkalosis And Metabolic Acidosis,ABG pH 7.50, PCO2 20 mmHg, HCO3 15 mmol/L, Na 140 mmol/L, Cl 103 mmol/L Interpretation Alkalemic with
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