Workup-acid-base disturbances
Traditional or physiologic approach (Brønsted-Lowry definition of acids & bases)
- Determine primary disorder: ✓ pH, PaCO2, HCO3
- Determine if degree of compensation is appropriate
- Compensation-for-Acid-Base-Disorders
Alternative approaches
Base excess/deficit (NEJM 2018;378:1419) 參考 ➡️ Diagnostic use of base excess in acid–base disorders Diagnostic Use of Base Excess in Acid–Base Disorders Strong ion difference or “Stewart Method” (NEJM 2014;371:1821)
Mixed-disorders (more than one primary disorder at the same time)
(Adapted from Brenner BM, ed., Brenner & Rector’s The Kidney, 8th ed., 2007; Ferri F, ed. Practical Guide to the Care of the Medical Patient, 7th ed., 2007)