(精编)ACID BASE DISORDERS教学课件.pptVIP

* * * * * * * * * * * * * * ACID BASE DISORDERS IT AIN’T ALL THAT SIMPLE DR ALEX HIEATT CONSULTANT ED WHAT IS AN ABG? The Components pH / PaCO2 / PaO2 / HCO3 / O2sat / BE Desired Ranges pH - 7.35 - 7.45 PaCO2 – 4.5 – 6 kPa PaO2 – 10.5 – 13.5 kPa HCO3 - 21-27 O2sat - 95-100% Base Excess - +/-2 mEq/L ACID BASE BALANCE The body produces acids daily 15,000 mmol CO2 50-100 mEq Nonvolatile acids The lungs and kidneys attempt to maintain balance Buffering also occurs in the liver through ammonia metabolism to urea / glutamate ACID BASE BALANCE Assessment of status via bicarbonate-carbon dioxi