电解质和酸碱平衡紊乱的生物化学检验(酸碱).ppt

Case study No. 10 76 yo ? with documented chronic hypercapnia secondary to severe COPD has been in ICU for 3 days while being tx for pneumonia. She had been stable for past 24 hours and was transferred to general floor. Pt was on 2L oxygen ABG VS: pH 7.44 BP 135/95 mmHg PCO2 63 mmHg Pulse 110/min PO2 52 mmHg RR 22/min HCO3 42 mmol/L BE +16 mmol/L MV 10L SaO2 86% . Interpretation: Chronic ventilatory failure (resp. acidosis) with uncorrected hypoxemia Case No. 10 cont’d She was placed on 3L and monitored for next hour. She remained alert, oriented and comfortable. ABG was repea