Info
🌱 來自: acid-base disturbances
acid-base workup TLDR
代謝性的 → 呼吸代償 = f(HCO3) → 同向跟上
- PaCO2 = (1.5 × HCO3) + 8 ± 2 (Winters’ formula)
- e.g. HCO3 = 12, PaCO2 = 26
- PaCO2 = 0.7 × (HCO3-24) + 40 ± 2 or HCO3 + 15
- e.g. HCO3 = 36, PaCO2 = 50
漲五成+8 v.s. 打七折+40
呼吸性的 → 代謝代償 → 同向跟上 HCO3 = f(pCO2/20mmHg)
- Recid pCO2 超高
- +2(Acute)
- +7(Chronic)
- Reka pCO2 超低
- -4(Acute)
- -8(Chronic)
我去！西八！
- AG (12±2) normal = Na- Cl - BiCar
- DG = Na- Cl - 12
- AGMA + MetAlk : 30 : AGMA : 18 : AGMA + NAGMA
- (Na-Cl) AGMA + MetAlk : 42 : AGMA : 30 : AGMA + NAGMA
- if 🧂sodium = 140:
- 110: AGMA + NAGMA (阿哥馬加那個馬)
- 98: AGMA + MetAlk (阿哥馬加鹼)