Acid Base 3 Metabolic Acidosis, Respiratory Compensation, Anion Gap, Base Excess

Описание: Just about everybody struggles to understand Acid Base Balance, particularly Metabolic Acidosis. This is the third and final tutorial in the series on the role of Carbon Dioxide in Acid Base Balance. The tutorial looks at respiratory compensation for metabolic acidosis. I also have expanded the remit of the tutorial to explain the Anion Gap, the Base Excess/Deficit and provide you with some tools to help you work out complex Acid Base abnormalities. I guarantee you'll learn something.
@ccmtutorials @or2icu www.or2icu.com
Description
00:00 Introduction, review and preview
01:27 Metabolic Acidosis is Caused By Reduced Strong Ion Difference (SID)
02:54 Acid Base Balance
04:03 What Caused Metabolic Acidosis
07:15 Hemoglobin, Oxygen, Carbon Dioxide, Bicarbonate and Chloride
10:09 How the Body Compensates for Acute Metabolic Acidosis
15:14 How the Body Compensates in Acute Metabolic Acidosis
15:38 Central Chemoreceptors
18:42 CO2 Carriage in Metabolic Acidosis
19:46 Measurement of SID a
21:18 The Anion Gap
23:58 Albumin and the Anion Gap
25:30 Delta Bicarbonate and Base Deficit (expected PaCO2 in Acute Metabolic Acidosis)
28:25 Base Deficit and Base Excess
30:39 Base Excess and Expected PaCO2 (Winters' Rule)
31:58 Calculating Unmeasured Anions from the Base Excess
32:49 The Base Deficit/Excess Gap
36:52 Review