ICU如何保持水电解质和酸碱平衡_培训课件.pptVIP

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 low PCO2 and low bicarbonate concentration Low PCO2 as a primary disorder – respiratory alkalosis AG = 140 – (103 + 15) = 22 20 – anion gap metabolic acidosis Excess AG = 22 – 12 = 10 mmol/L Excess AG + HCO3 = 25 mmol/L – no further primary abnormalities Metabolic Alkalosis And Metabolic Acidosis ABG pH 7.40, PCO2 40 mmHg, HCO3 24 mmol/L, Na 145 mmol/L, Cl 100 mmol/L Interpretation Normal ABG AG = 145 – (100 + 24) = 21 20 – anion gap metabolic aci