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Acid Base (Determine 1º disturbance: Start w/ pH 7.4 (< 7.4 (Acidemia)…

- - - - CO2
        
        > 40
        
        Respiratory Acidosis
        
        Hypoventilation:
        
        Opiates
        
        Asthma/COPD (air trapping)
        
        low muscular strength (ventilator)
        
        OSA (fat man)
        
        < 40
        
        Metabolic acidosis
        
        Get Anion Gap
        
        >12
        
        Anion Gap Acidosis:
        MUDPILES
        
        substance is osmotically and Acid/base reactive
        
        Ethylene Glycol: Antifreeze, causes crystals
        
        < 12
        
        Non-Anionic Gap
        
        1 more item...
  - - - CO2
        
        < 40
        
        Respiratory Alkalosis
        
        Hyperventilation:
        
        Pain, Anxiety (common)
        
        Hypoxemia
        
        > 40
        
        Metabolic Alkalosis
        
        Is person volume responsive? Get Urine Chloride
        
        <10
        
        :check: Volume responsive:
        caused by normal volume depletion
        
        Diuretics (may cause Na wasting)
        
        Dehydration
        
        Emesis/NG suction
        
        1 more item...
        
        >10
        
        :green_cross: Not Volume Responsive, not Volume down. Look for HTN.
        
        1 more item...