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Arterial  Blood  Gases Dr. Michael J. Baffsky
How to take an ABG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why use ice anyway?
What values do you get? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Ranges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions to ask? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions to ask? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is the patient acidotic or alkalotic? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Questions to ask? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolic Respiratory Respiratory   Metabolic Low PaCO2 High PaCO2 Low PaCO2   High PaCO2 Acidosis   Alkalosis Low pH   High pH
Recall, there may be a  MIXED  pattern!!
Questions to ask? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Compensation ,[object Object]
Compensation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Compensation (example) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question ,[object Object],[object Object],[object Object],[object Object],[object Object]
Is there another quicker way to do this?
The Base Excess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Anion Gap ,[object Object],[object Object],[object Object],[object Object],[object Object]
Interpretation of the anion gap ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of acute respiratory acidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of chronic respiratory acidosis ,[object Object],[object Object],[object Object],[object Object]
Causes of Respiratory Alkalosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of metabolic acidosis with raised anion gap ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of metabolic acidosis with normal anion gap ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Metabolic Alkalosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mixed Acid-Base Disturbances ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions to ask? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygen status ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Hypoxia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Hypoxemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
The A-a gradient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A-a gradient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANY QUESTIONS?
THE END Thank You

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