Slides for a short talk on some tips and tricks for trainees when interpreting ABGs (arterial blood gases). Talk given at the free registrar's day at Bedside Critical Care 2013 in the Whitsunday Islands.
27. EMCrit by Scott Weingart
http://emcrit.org/podcasts/acid-base-i/
Acid-Base Physiology by Kerry Brandis
http://www.anaesthesiamcq.com/AcidB
aseBook/ABindex.php
33. Correcting for
low albumin is essential
AGadj = AGobs + 0.25 x (42 - Albobs)
34. THE END
http://lifeinthefastlane.com/education
/clinical-cases/
http://lifeinthefastlane.com/exams/fac
em-fellowship/vaq-subject/
http://lifeinthefastlane.com/exams/cic
m-fellowship/saq-keyword/
35. THE END
http://lifeinthefastlane.com/education/clinical-cases/
http://lifeinthefastlane.com/exams/facem-fellowship/vaq-subject/
http://lifeinthefastlane.com/exams/cicm-fellowship/saq-keyword/
Notes de l'éditeur
Photo by Misserion
Normal Aa gradient increases 5-7 mmHG for every 10% increase in FiO2 due to the overcoming of hypoxic vasoconstriction opening blood flow to poorly ventilated lung areas.
Adams et al. included all ED patients over a seven month time period in whom a lactate level was measured for any reason. They considered an AG >12 abnormal and conducted sensitivity analyses of the AG for detecting the presence of a lactate >2.5 mmol/L. The AG was 52.8% sensitive, 81.0% specific with a negative predictive value of 89.7% for the prediction of lactic acidosis.(Adams BD, Bonzani TA, Hunter CJ. The anion gap does not accurately screen for lacticacidosis in emergency department patients. Emerg Med J. 2006;23(3):179-182.)