酸鹼中毒在加護病房中視常見的狀況，判斷方式也不是很難
Prediction of Compensatory Responses on Simple Acid-Base Disturbances | |
Disorder | Prediction of Compensation |
Metabolic acidosis | PaCO2 = (1.5 x HCO3-) + 8 |
Or | |
PaCO2 will ↓ 1.25 mmHg per mmol/L ↓ in [HCO3-] | |
Or | |
PaCO2 = [HCO3-] + 15 | |
Metabolic alkalosis | PaCO2 will ↑ 0.75 mmHg per mmol/L ↑ in [HCO3-] |
Or | |
PaCO2 will ↑ 6 mmHg per 10 mmol/L ↑ in [HCO3-] | |
Or | |
PaCO2 = [HCO3-] + 15 | |
Respiratory alkalosis | |
Acute | [HCO3-] will ↓2 mmol/L per 10 mmHg ↓ in PaCO2 |
Chronic | [HCO3-] will ↓ 4 mmol/L per 10 mmHg ↓ in PaCO2 |
Respiratory acidosis | |
Acute | [HCO3-] will ↑ 1 mmol/L per 10 mmHg ↑ in PaCO2 |
Chronic | [HCO3-] will ↑ 4 mmol/L per 10 mmHg ↑ in PaCO2 |
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