Deny Salverra Yosy

GOLDEN RULE

RULE 1 : PaCO2 10 Torr pH 0,08

PaCO2 10 Torr pH 0,08

RULE 2 : pH 0,15 BE 10 mEq/L

pH 0,15 BE 10 mEq/L

RULE 1 : 1 tiap 10 asidosis respiratorik akut

Setiap pe PCO2 10 mmHg di atas 40 mmHg [HCO3]
meningkat 1 mmol/L.

Expected [HCO3] = 24 + [(actual PCO2 40)/10]

RULE 2 : 4 tiap 10 asidosis respiratorik kronik

Setiap pe PCO2 10 mmHg di atas 40 mmHg [HCO3]
meningkat 4 mmol/L

Expected [HCO3] = 24 + 4 [(actual PCO2 40)/10]

RULE 3 : 2 tiap 10 alkalosis respiratorik akut

Setiap pe PCO2 10 mmHg di bawah 40 mmHg
[HCO3] turun 2 mmol/L

Expected [HCO3] = 24 2 [40 actual PCO2/10]

RULE 5 : 1,5 + 8 asidosis metabolik

Expected PCO2 = 1,5 [HCO3] + 8 (range: 2)

RULE 6 : 0,7 + 20 Alkalosis metabolik

Respiratorik kronik

Expected PCO2 = 0,7 [HCO3] + 20 (range: 5)

Deny Salverra Yosy

KELLUM RULES OF THUMB

RESPIRATORY COMPONENT DISORDER

DISORDER
Acute respiratory acidosis
Chronic respiratory acidosis
Acute respiratory alkalosis
Chronic respiratory alkalosis
HCO3
24 + (PCO2 40) / 10
24 + (PCO2 40) / 3
24 + (40 PCO2 / 5)
24 + (40 PCO2 / 2)

KELLUM RULES OF THUMB

KETOACIDOSIS

The expected PCO2 = 1,5 the bicarbonate + 8 ( 2)

Nilai Normal:
pH : 7,35 7,45
PCO2 : 35 45 (rata-rata 40) mmHg
PO2 : 70 100 mmHg
BE : -2 s/d +2 mEq/L
CaO2 : 16 22 mL O2/dL
HCO3 : 24 mEq/L