Q world Medicine : Acid Base Disorders Tanmay Mehta

ACID BASE FUNDAS Tanmay Mehta

-----Acidosis-----(Lt.side) CO2 + H2O--- H2CO3--------( Respiratory Acidosis= compensated
H+ + HCO3- (Rt.side)---Alkalosis---- 1. PH (N=7.38-7.44)== Normal
2. PCO2 (N=3545)== Increase
EXPECT FOR THE COMPENSATION, THE 3. [HCO3-] (N=2130)== Increase
BASIC RULE = ACIDOSIS= DECREASED PH / 4. [HCO3-]/ PCO2== Increase/ Increase
INCREASE [H+] / LOSS OF HCO3-
= ALKALOSIS= INCREASED PH / DECREASED [H+] / Respiratory Alkalosis=simple/uncompensated
Decreased PCO2 1. PH (N=7.38-7.44)== Increase
2. PCO2 (N=3545)== Decrease
Lung Compensate for== 3. [HCO3-] (N=2130)== Normal
For Metabolic Acidosis by Decreasing PCO2 (by 4. [HCO3-]/ PCO2== Normal/ Decrease
Hyperventilation)
For Metabolic Alkalosis by Increasing PCO2 (by Respiratory Alkalosis= compensated
Hypoventilation) 1. PH (N=7.38-7.44)== Normal
2. PCO2 (N=3545)== Decrease
Kidney Compensate for== 3. [HCO3-] (N=2130)== Decrease
For Respiratory Acidosis by Increasing HCO3- Reabsorption. 4. [HCO3-]/ PCO2== Decrease/ Decrease
For Respiratory Alkalosis by Decreasing HCO3-
Reabsorption. Metabolic Acidosis=simple/uncompensated
1. PH (N=7.38-7.44)== Decrease
Always look for [HCO3-] / [PCO2]== 2. PCO2 (N=3545)== Normal
3. [HCO3-] (N=2130)== Decrease
Uncompensated / simple conditions 4. [HCO3-]/ PCO2== Decrease/ Normal
( any one of these can be the fes. But only one of these)
= Normal/ Increase Metabolic Acidosis= compensated
= Normal/ Decrease 1. PH (N=7.38-7.44)== Normal
= Increase/ Normal 2. PCO2 (N=3545)== Decrease
= Decrease/ Normal 3. [HCO3-] (N=2130)== Decrease
Compensated conditions 4. [HCO3-]/ PCO2== Decrease/ Decrease
= Increase/ Increase
= Decrease/ Decrease Metabolic Alkalosis=simple/uncompensated
1. PH (N=7.38-7.44)== Increase
Mixed i.e. (Both Respiratory and metabolic Acidosis or 2. PCO2 (N=3545)== Normal
Alkalosis)== 3. [HCO3-] (N=2130)== Increase
i.e. Metabolic Acidosis and Respiratory Acidosis=[HCO3-]/ 4. [HCO3-]/ PCO2== Increase/ Normal
PCO2== Decrease/ Increase
Metabolic Alkalosis and Respiratory Alkalosis=[HCO3-]/ Metabolic Alkalosis=Compensated
PCO2== Increase/ Decrease 1. PH (N=7.38-7.44)== Normal
Things to look for (in order)= 2. PCO2 (N=3545)== Increase
1. PH (N=7.38-7.44) 3. [HCO3-] (N=2130)== Increase
2. PCO2 (N=3545) 4. [HCO3-]/ PCO2== Increase/ Increase
3. [HCO3-] (N=2130)
4. [HCO3-]/ PCO2

Respiratory Acidosis=simple/uncompensated
1. PH (N=7.38-7.44) == Decrease
2. PCO2 (N=3545)== Increase
3. [HCO3-] (N=2130)== Normal
4. [HCO3-]/ PCO2== Normal/ Increase

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