H HCO. pco, Acid-Base Disorder 1|__ 740 23 40 | normal 2|_70 | 35 42 |_acut metabolic alkalosis 2 oe 2 2 | comensated metabolic acidos 4 Faz 32 64__ | comensated imetabolic alkalosis 5 7.20 18 40__| acut- metabolic acidosis. 6 7.20 24 54 acute respiaratory acidosis 7 752 22 22 i ji 8 7.66 36 30__| mixedalkalosis © 9 TAT M4 22 |PC respiartory alkalosis 10746 35 53 |PC metabolic alkalosis 1 739 12 22__|compensated repiratory alkalosis 127M | pe respi_acidosis 13710 15 50 atacidasts Pco, = i | Metabolic 2 | | alkalosis / 40™m Ha Respiratory t = acidosis | Ss | Mixed = alkalosis a I 3 Mixed Buffer line acidosis Plasma [HCO. 69 70 71 72 73 74 75 76 77 78 79 pHtrue hyponatremia [| volume status ‘Hypovolemic GU Na >20meg/l = Cerebral salt wasting ‘Euvolemic Sa) U Na> 20mee/1 SLADH hypervolemia (a) U Na > 20meg/I - CHF =» ‘Diuretics thiexiasy = glucocorticoid = Cirrhosis = aldosterone deficiency deficiency - Nephrotic - Balt losing ~ Hypothyroidism syndrome nephropathy - Hereditary (6) U Na z0 < meq/l = Ketonuria Drugs - Renal failure Renal tubular acidosis ® U Na 20 743_| Alkalaeria pH | pCOr Interpretation 73644 | Nomad 738. | Acidaernia 1 1 | Meabolie acidoss poor | > | High t T_ | Meubotie alkalosis 3545_| Noma | t Respimtory alkalosis <35_| Low | i t | Respimtory acidosis Hoos [526 | High ‘Corrected standard AG for albumin 24H-1_| Nomal +15 Pepa <2 | Low 4 AG 516 _| High ‘Anion Gap calculation 1724/4 | Normal {INet] - (C+ HCO, ]} = 1247-4 <8 | Low Corrected Na~ for AG in hyperglycemia Glucose | >10 | High Cormected Na*= Na+ Glucose —5 <2 Low 3 Gap: Gap calculation for metabolic acidosis Gap:Gap | AAG = AG-12 = — Hee) heen oF oro pueeal ‘AG metabolis C408 | Nomal FhighAG metabolic acidosis Tactate 08-20 | Pure high metabolic acidosis ‘Metaboli acidosis with metabolic: alkelo: PAO?= [713 x poz ae dpi PND Dag ‘Compensation rules for “Metabolie acidosis ‘Metaboli alkalosis Expected TSX [HCO3]+8 (4-3) G7 X [HCO] + 20 (7-5) PCO2 Respiratory acidosis Respiratory alkalosis Acute Chronic Acute Chronic Expected 54, p002—40X, | 2e+pCO2—40 xe | 24-40-p0O2 x2 | m4 -40 =pCO2Xs 10 10 10 10