血气分析的临床判读课件.pptVIP

* * Anion Gap = 145 - (109 + 17) = 19 ? anion gap metabolic acidosis Winters Formula = 1.5 (17) + 8 ? 2 = 34 ? 2 ? uncompensated Delta Gap = 19 - 10 = 9 9 + 17 = 26 ? no metabolic alkalosis 47 year old male experienced crush injury at construction site. ABG - 7.3 / 32 / 96 / 15 Na- 135 / K-5 / Cl- 98 / HCO3- 15 / BUN- 38 / Cr- 1.7 CK- 42, 346 Anion Gap = 135 - (98 + 15) = 22 ? anion gap metabolic acidosis Winters Formula = 1.5 (15) + 8 ? 2 = 30 ? 2 ? compensated Delta Gap = 22 - 10 = 12 12 + 15 = 27 ? mild metabolic alkalosis 1 month old male presents wi