Catégories : Tous - alcalosis - respiratoria - acidosis - metabólica

par Giselle Benito Il y a 3 années

217

Interpretación de valores gasométricos en los diferentes tipos de trastornos del equilibrio acido-base

Para entender y manejar los trastornos del equilibrio ácido-base, es esencial analizar los valores gasométricos específicos. Los trastornos principales incluyen acidosis y alcalosis, que pueden ser de origen respiratorio o metabólico.

Interpretación de valores gasométricos en los diferentes tipos de trastornos del equilibrio acido-base

se compensan aumentando para no perder el equilibrio

Bibliografia: Sánchez Díaz, Jesús Salvador, Martínez Rodríguez, Enrique Antonio, Peniche Moguel, Karla Gabriela, Díaz Gutiérrez, Susana Patricia, Pin Gutiérrez, Eusebio, Cortés Román, Jorge Samuel, & Rivera Solís, Gerardo. (2018). Interpretación de gasometrías: solo tres pasos, solo tres fórmulas. Medicina crítica (Colegio Mexicano de Medicina Crítica), 32(3), 156-159. Epub 27 de marzo de 2020. Recuperado en 11 de septiembre de 2021, de http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2448-89092018000300156&lng=es&tlng=es.

Elaborado por:

Diana Sofia Silva , Juan Pablo Rodríguez Andrea Cuervo, Camilo Rodríguez Giselle Benito

Interpretación de valores gasométricos en los diferentes tipos de trastornos del equilibrio acido-base

Tener en cuenta

PCO3 parte acida Respiratoria
HCO3 parte basica Metabólica

Alteraciones primarias

Alcalosis respiratoria
PaCO2: < 35 mmHg

What does it consist of

flour, baking powder, salt, white sugar, milk, eggs, buttercanola oil spray, eggs, vanilla cream, flour, cocoa powder, baking powder, dark chocolate, icing sugar mixture, Frangelico liquerlour, almonds, icing sugar, butter, eggs, caster sugar, cream, lemonscoffee, marsala, eggs, mascarpone, sponge fingers, cocoa powderbananas, vanilla ice-cream, pecans, dark chocolate, KahluaOther

taquipnea

Hiperpnea

espasmo carpopedio

Dessert is the final course that is meant to satisfy people's cravings for sweetness after they have eaten other savorous foods. Type in the answer.

pancakeschocolate moussebaked lemon meringue pietiramisubanana splitOther
Acidosis respiratoria

What does it consist of?

pork chops, apples, onions, Gorgonzola, beer or white wine, salt, green pepper, olive oilsalmon, rosemary, thyme, basil, sage, parsley, lemongrass, lemons, green onions, carrots, brown rice, sea salt, black pepper, olive oilduck, oranges, bay leaves, onion, Cointreau, red wine, orange marmalade, potatoes, milk, butter, cornflour, saltturkey, honey, onions, garlic, zucchini, eggplants, champignons, salt, white and green pepper, olive oilchicken, onion, tomato sauce, yogurt, butter, broccoli, garlic, curry powder, cinnamon, paprika, ginger, sea salt, green pepper, olive oilOther

Injurgitacion de los vasos retinianos y papiledema

Hipercapnia crónica predominando hipertensión pulmonar

The main course, also called the entree, is the largest portion of the meal and in many cases contains some type of protein. Type in the answer.

gorgonzola and apple pork chopsbaked salmon with brown riceorange duck with mashed potatoesroasted turkey with grilled vegetablescurry chicken with broccoli puréeOther
Alcalosis metabólica
PaCO2: >45 mmHg

How does it taste?
What are its flavors?
Type in the adjectives that best describe this course.

Example: 'The tangy taste of paprika combines with the earthy aromas of fresh vegetables, all with an underlying taste of juicy beef.'

Convulsiones

Hipocalcemia

Depresión respiratoria

HCO3: >26 mEq/l

What does it consist of?

water, bacon, olive oil, carrots, onions, celery, potatoes, salt, pepperwater, sweet onions, chicken broth, butter, pepper, flour, milk, Cheddar cheese, parsleywater, beef chuck roast, onions, paprika, carrots, parsley, potatoes, caraway seeds, hot paprika, pepper, saltwater, chicken, vegetable oil, celery, carrots, chicken broth, parsley, fresh thyme, egg noodles, pepper, saltwater, dashi granules, miso paste, tofu, green onionsOther
pH: >7.45

A soup can be anything from a light broth to a rich pure. Very often, the type of soup being served is determined by the following dish.
Type in the answer.

bacon souponion cream soupgoulash soupchicken noodle soupMiso soupOther
Acidosis metabólica
PaCO2: <35 mmHg

Si hay compensación

What are its flavor?
Each dish description should sound as if you were explaining a friend the taste and flavors for which that dish is your favorite.
Type in the adjectives that best describe this course.

Example: ' The crunchy tortillas are melting in your mouth like savoury-salty biscuits. The sweet-and-sour tomato sauce is perfectly seasoned while the jalapeno pepper makes it spicy. '

Manifestaciones clínicas

Hipotensión

Arritmias ventriculares

Hiperventilación compensadora

HCO3: <22 mEq/l

What does it consist of?

butter, cream cheese, spinach, sour cream, Parmesan, saltgoat cheese, blue cheese, Cheddar cheese, Parmesan, grapes, nuts, dried appleflour tortillas, lean ground beef, chilly, tomato sauce, sour creamtoasted wheat bread, red onion, arugula, Swiss cheese, turkey ham, grainy mustardtortilla chips, Cheddar cheese, onion, sweet-sour tomato sauceOther
pH: <7.35

The appetizer, also called a starter, is a small portion or a bite-size delicacy which will prepare you for the remainder of the meal. Type in the answer.


dipscheese traysmini tacossandwichesnachosOther

FORMULAS PARA CALCULAR

Base esperada
PaCO2-40) × 0.4

acidosis y alcalosis respiratoria crónica

(0.7 × HCO3 -) +21 ± 2

alcalosis metabólica

PaCO2 esperada
(1.5 × HCO3 -) +8 ± 2

acidosis metabólica

PASOS PARA INTERPRETAR

PASO 3
Analizar base

What cold drink will you serve?

papaya lassi with cardamomcoconut-rice coolerboba and bubble teaicy cool cochatamatcha shakeOther

(-2 a +2 mEq/L).

PASO 2
Analizar PaCO2

(35-45 mmHg a nivel del mar).

How does it taste?
What is its flavor? Type in the adjectives that best describe this drink.
Examples: 'The coconut cooler is the perfect way to start a hot summer day. Sweet coconut juice, nutritious almonds and energizing lime juice.'

Alcalosis

PaCO2 <35

Acidosis

PaCO2 >35

PASO 1
Analizar PH

What hot drink will you serve?

peppermint hot chocolateeggnogwarm apple ciderchai teavegan pumpkin spice latteOther

7.35-7.45

Clasificación

Alcalosis- Alcalemia

PH >7.45

Acidosis- Acidemia

PH <7.35