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  • Uci 2

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    The document provides formulas for interpreting acid-base disorders, including formulas to calculate the expected partial pressure of carbon dioxide (PaCO2) for metabolic acidosis and alkalosis. It also provides formulas for calculating expected pH values in acute and chronic respiratory acidosis and alkalosis based on PaCO2 levels. The document describes how to determine if an acid-base disorder is a pure disorder or mixed disorder based on whether the actual and expected PaCO2 and bicarbonate levels match. It provides examples of mixed disorders that could result from the combination of different primary acid-base disturbances.

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    UCI 2

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    The document provides formulas for interpreting acid-base disorders, including formulas to calculate the expected partial pressure of carbon dioxide (PaCO2) for metabolic acidosis and alkalosis. It also provides formulas for calculating expected pH values in acute and chronic respiratory acidosis and alkalosis based on PaCO2 levels. The document describes how to determine if an acid-base disorder is a pure disorder or mixed disorder based on whether the actual and expected PaCO2 and bicarbonate levels match. It provides examples of mixed disorders that could result from the combination of different primary acid-base disturbances.

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    3 views3 pages

    Uci 2

    Uploaded by

    josejose7794
    The document provides formulas for interpreting acid-base disorders, including formulas to calculate the expected partial pressure of carbon dioxide (PaCO2) for metabolic acidosis and alkalosis. It also provides formulas for calculating expected pH values in acute and chronic respiratory acidosis and alkalosis based on PaCO2 levels. The document describes how to determine if an acid-base disorder is a pure disorder or mixed disorder based on whether the actual and expected PaCO2 and bicarbonate levels match. It provides examples of mixed disorders that could result from the combination of different primary acid-base disturbances.

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    © All Rights Reserved
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    FORMULAS UTILES PARA LA INTERPRETACION DE LOS TRASTORNOS ACIDOBASE

    ACIDOSIS METABOLICA

    PaCo2 ESPERADA = (1,5*HCO3)+(8+-2)


    Si PaCo2 >HAY ACIDOSIS RESPIRATORIA ASOCIADA
    Si PaCo2 < HAY ALCALOSIS RESPIRATORIA ASOCIADA

    ALCALOSIS METABOLICA

    PaCo2 ESPERADA = (0,7*HCO3)+(21+-2)


    Si PaCo2 >HAY ACIDOSIS RESPIRATORIA ASOCIADA
    Si PaCo2 < HAY ALCALOSIS RESPIRATORIA ASOCIADA

    ACIDOSIS RESPIRATORIA AGUDA

    LA VARIACION DE ph = 0,008* variacion de PaCo2

    ph ESPERADO = 7,4-( 0,008 (40-PaCo2) )

    ACIDOSIS RESPIRATORIA CRONICA

    LA VARIACION DE ph = 0,003* variacion de PaCo2

    ph ESPERADO = 7,4-( 0,003 (40-PaCo2) )

    ALCALOSIS RESPIRATORIA AGUDA

    LA VARIACION DE ph = 0,008* variacion de PaCo2

    ph ESPERADO = 7,4+( 0,008 (40-PaCo2) )

    ALCALOSIS RESPIRATORIA CRONICA

    LA VARIACION DE ph = 0,003* variacion de PaCo2

    ph ESPERADO = 7,4+ ( 0,003 (40-PaCo2) )


    ACIDOSIS METABOLICA
    (pH PCo2 disminuidos)
    ¿Es el PCo2 real = al PCo2 esperado?

    SI NO

    TRASTORNO PURO TRASTORNO MIXTO


    PCo2 = 40 mmHg acidosis metabolica PCo2 real > PCo2 esperada = Ac metabolica+
    descompensada Ac repiratoria
    PCo2 < 40 mmHg acidosis metabolica
    parcialmente compensada PCo2 real < PCo2 esperada = Ac metabolica+
    Alcalosis repiratoria

    ALCALOSIS METABOLICA
    (pH y PCo2 aumentadas)
    ¿Es el PCo2 real = al PCo2 esperado'

    SI NO

    TRASTORNO PURO TRASTORNO MIXTO


    PCo2 = 40 mmHg alcalosis metabolica PCo2 real > PCo2 esperada = Alcalosis
    descompensada metabolica+ Acidosis repiratoria
    PCo2 > 40 mmHgalcalosis metabolica
    parcialmente compensada PCo2 real < PCo2 esperada = Alcalosis
    metabolica+ Alcalosis repiratoria

    ACIDOSIS RESPIRATORIA
    (pH disminuido PCo2 aumentado)
    ¿Es el HCo3 real = al HCo3 esperado?

    SI NO

    TRASTORNO PURO TRASTORNO MIXTO


    HCo3 real > HCo3 esperada = Acidosis
    ACIDOSIS RESPIRATORIA respiratoria + Alcalosis metabolica

    HCo3 real < HCo3 esperada = Acidosis


    metabolica + Acidosis repiratoria
    ALCALOSIS RESPIRATORIA
    (pH aumentado y PCo2 disminuido)
    ¿Es el HCo3 real = al HCo3 esperado'

    SI NO

    TRASTORNO PURO TRASTORNO MIXTO


    HCo3 real < HCo3 esperada = Alcalosis
    Alcalosis respiratoria respiratoria + Acidosis metabolica

    HCo3 real > HCo3 esperada = Alcalosis


    respiratoria + Alcalosis metabolica.

    PH normal
    HCo3 y PCo2 disminuidos
    Acidosis metabolica + Alcalosis respiratoria

    PH normal
    HCo3 y PCo2 aumentado
    Acidosis respiratoria + alcalosis metabolica

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