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ICU必备课件.ppt

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ICU必备课件.ppt

上传人:1017848967 2019/9/30 文件大小:167 KB

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文档介绍:ObjectivesWhat’sanABG? UnderstandingAcid/BaseRelationship GeneralapproachtoABGInterpretation ClinicalcausesAbnormalABG’s Casestudies TakehomeWhatisanABGArterialBloodGasDrawnfromartery-radial,brachial,-baseabnormalitiesWhatIsAnABG?pH [H+]PCO2PartialpressureCO2PO2PartialpressureO2HCO3BicarbonateBE BaseexcessSaO2 OxygenSaturationAcid/BaseRelationshipThisrelationshipiscriticalforhomeostasis SignificantdeviationsfromnormalpHrangesare poorlytoleratedandmaybelifethreatening ,tachycardic,’sShowPaCO2wellbelownl,pHabovenl,,tachycardic,’sShowPaCO2veryhigh, NaHCO3 Carbonicacid basebicarbonateThesebuffersarelinkedtotherespiratoryand ponentfunctionofthelungsCarbonicacidH2CO3Approximately98%normalmetabolitesareintheform ofCO2CO2+H2OponentFunctionofthekidneysbasebicarbonateNaHCO3ProcessofkidneysexcretingH+intotheurineandreabsorbing HCO3-intothebloodfromtherenaltubules 1)activeexchangeNa+forH+betweenthetubular cellsandglomerularfiltrate 2)elerates hydration/dehydrationCO2inrenalepithelialcellsH2O+CO2H2CO3HCO3+H+Acid/BaseRelationship