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Skill Station 12 Desember 2007
Skill Station 12 Desember 2007
Skill Station 12 Desember 2007
12 Desember 2007
1
¬ Normal ®
pH
Asidosis Alkalosis
7,35 - 7,45
PaCO2 mmHg
Respiratorik Respiratorik
(>45) 45 - 35 (<35)
[HCO3-] mEq/L
Metabolik Metabolik
22 - 26
2
KELAINAN pH PRIMER RESPONS
KOMPENSASI
ASIDOSIS ¯ HCO3- ¯ pCO2 ¯
METABOLIK
ALKALOSIS HCO3- pCO2
METABOLIK
ASIDOSIS ¯ pCO2 HCO3-
RESPIRATORIK
ALKALOSIS pCO2 ¯ HCO3- ¯
RESPIRATORIK
3
KELAINAN KOMPEN
BESAR KOMPENSASI
SASI
ASIDOSIS PaCO2¯ 1,5 x [HCO3-] + 8
METABOLIK
RESPIRATORIK
Kronik: 4 mEq setiap kenaikan 10 mmHg PaCO2
4
} [Na+] - {[Cl-] + [HCO3-]}
} 14 - 16 mEq/L AG
} koreksi dg kadar albumin HCO3-
} AGc = AG + (2.5 x ∆ albumin
g/L )
Na+
} = unmeasured anions (laktat,
hidroksibutirat,dll) Cl-
} Gap bikarbonat