Method
- Primary disturbance (acidemia/alkalemia)
- Primary process (metabolic/respiratory)
- Presence of mixed disorder
- Increase PCO2 of 10, increases HCO3 by 1 (acute) or 3 (chronic)
- Decreased PCO2 of 10, decreases HCO3 by 2 (acute) or 5 (chronic)
- Increase HCO3 of 1, increases PCO2 by 0.7
- Decreased HCO3, add 15, result should equal PCO2 and number after decimal of pH
- Anion gap
Causes
- Anion Gap
- Methanol
- Uremia
- DKA/AKA
- Paraldehyde, propylene glycol
- INH
- Lactate
- Ethylene glycol
- Salicylate
- Non-Anion Gap
- Fistulae
- Ureteral fistulae
- Saline
- Diarrhea
- Carbonic anhydrase inhibitors
- Spironolactone
- RTA
- Metabolic Alkalosis
- Vomiting
- Volume depletion
- Diuretics
- Steroids
- Respiratory Acidosis
- CNS lesion
- Myopathies
- Chest wall abnormalities
- Obstructive lung disease
- Respiratory Alkalosis
- Anxiety
- Fever
- Hyperthyroidism
- Hypoxia
- Sympathomimetic
See Also