INTERPRETACION DE GASES ARTERIALES 1.- DETERMINE EL pH ALCALOSIS 7,45 7.40 7.35 ACIDOSIS

2.- EVALUE PCO2 Y HCO3 ACIDOSIS RESPIRATORIA ALCALOSIS METABOLICA > 45 > 26 pH PCO2 HCO3 < 35 < 22 ALCALOSIS RESPIRATORIA ACIDOSIS METABOLICA TRASTORNO METABOLICO 3.- DETERMINE EL ANION GAP 4.- SI EL ANION GAP ES ALTO, ENTONCES DETERMINE EL HCO3 CORREGIDO ALTO ALCALOSIS METABOLICA agregada > 12 > 26 NA - (Cl + HCO3) NORMAL HCO3 medido + (ANION GAP medido - 12) <8 < 22 BAJO ACIDOSIS METABOLICA NO ANION GAP 5.- DETERMINE LA CORRECTA COMPENSACION RESPIRATORIA ACIDOSIS METABOLICA PCO2 esperado = (1.5 X HCO3 medido + 8) +/- 2 ALCALOSIS METABOLICA LEVE A MODERADA (HCO3 < 40) PCO2 esperado = (0.9 X HCO3medido + 15) +/- 2 ALCALOSIS METABOLICA SEVERA (HCO3 > 40) PCO2 esperado = (0.9 X HCO3medido + 9) +/- 2 SI: PCO2 medido > PCO esperado ACIDOSIS RESPIRATORIA agregada PCO2 medido = PCO esperado

TRASTORNO PURO

PCO2 medido < PCO esperado

ALCALOSIS RESPIRATORIA agregada TRASTORNO RESPIRATORIO 6.- DETERMINE SI EL TRASTORNO ES AGUDO O CRONICO AGUDA pH calculado = 7.4 - [0.008 X (PCO2 medido - 40)] CRONICA pH calculado = 7.4 - [0.003 X (PCO2 medido - 40)]

ACIDOSIS RESPIRATORIA

ALCALOSIS RESPIRATORIA

ACIDOSIS RESPIRATORIA

AGUDA pH calculado = 7.4 + [0.008 X (40 - PCO2 medido)] CRONICA pH calculado = 7.4 + [0.003 X (40 - PCO2 medido)] 7.- DETERMINE LA CORRECTA COMPENSACION METABOLICA AGUDA HCO3 esperado = 24 + [0.1 X (PCO2 medido - 40)] CRONICA HCO3 esperado = 24 + [0.4 X (PCO2 medido - 40)]

ALCALOSIS RESPIRATORIA

AGUDA CRONICA SI: HCO3 medido > HCO3 esperado ALCALOSIS METABOLICA agregada HCO3 medido = HCO3 esperado TRASTORNO PURO HCO3 medido < HCO3 esperado ACIDOSIS METABOLICA agregada

HCO3 esperado = 24 - [0.2 X (40 - PCO2 medido)] HCO3 esperado = 24 - [0.4 X (40 - PCO2 medido)]

INTERPRETACION DE GASES ARTERIALES copia.pdf

DETERMINE EL ANION GAP 4.- SI EL ANION GAP ES ALTO, ENTONCES DETERMINE EL HCO3 CORREGIDO. ALTO ALCALOSIS METABOLICA agregada.

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