kena tegur dgn member kenapa lama x post. sekali post yg pening kepala pulak kan. sorry lah hhaha .
so sape2 nk try give full diagnosis utk ABG kat bawah ni silakan ye jgn segan2
so sape2 nk try give full diagnosis utk ABG kat bawah ni silakan ye jgn segan2
ok so jom kita interprete ABG ni. so tulis balik mcm ni:
pH 7.228 -acidosis
pO2 193 - wah so high, wean down o2 stat
pCO2 29 (normal 40) -turun 11
HCO3 13 (Normal 24) -turun 11
pH 7.228 -acidosis
pO2 193 - wah so high, wean down o2 stat
pCO2 29 (normal 40) -turun 11
HCO3 13 (Normal 24) -turun 11
so this is metabolic acidosis
next step. kira expected pCO2 using winters formula, utk tgk ada respi compensation ke x
= (1.5 x HCO3) + 8
= (1.5 x 13) + 8
= 27.5
now, measured pCO2 dekat ABG kita is 29 rite. dekat2 dah tu dgn expected pCO2.
next step. kira expected pCO2 using winters formula, utk tgk ada respi compensation ke x
= (1.5 x HCO3) + 8
= (1.5 x 13) + 8
= 27.5
now, measured pCO2 dekat ABG kita is 29 rite. dekat2 dah tu dgn expected pCO2.
final verdict: partially compensated metabolic acidosis with appropriate respiratory compensation.
btw
If pH is NORMAL, PaCO2 & HCO3 are both ABNORMAL =
Compensated
If pH is ABNORMAL, PaCO2 and HCO3 are both ABNORMAL =Partially Compensated
If pH is ABNORMAL, PaCO2 or HCO3 is ABNORMAL =
Uncompensated
If pH is NORMAL, PaCO2 & HCO3 are both ABNORMAL =
Compensated
If pH is ABNORMAL, PaCO2 and HCO3 are both ABNORMAL =Partially Compensated
If pH is ABNORMAL, PaCO2 or HCO3 is ABNORMAL =
Uncompensated
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