ABG Part 2 [respiratory alkalosis]
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 9 August 2018
⏱️ 7 minutes
🧾️ Download transcript
Summary
Today, we'll be going over part 2 of 4 of the acid base disorders.
As a recap, what is normal?
Well, a normal pH is 7.35 - 7.45
If the pH is <7.35 then we have acedemia.
If the pH is >7.45 then we have alkalemia.
A normal bicarbonate is 22-26 and a normal pCO2 is 35-45.
In today's podcast we are going to tackle respiratory acidosis, partial vs complete compensation, and we'll show you what to look for to see if there is a co-existing acid/base disorder.
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Transcript
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| 0:00.0 | Tame, Zach here from med geeks. Welcome back. So this is part two of the acid-based disorders |
| 0:07.0 | four week session. So today we're going to tackle respiratory alkalosis. |
| 0:14.0 | Once again, breaking up the acid-based disorder |
| 0:16.6 | so that your brain can focus in on one disorder |
| 0:19.7 | and not get them all jumbled up |
| 0:21.4 | and let the steps sink in. |
| 0:23.4 | So once again, what is normal? |
| 0:26.0 | I'm going to repeat myself each of these podcasts on acid-based disorders so that it sticks. |
| 0:31.5 | Remember, repetition and practice is key in medicine. So normal pH 7.35 to 7.45 |
| 0:38.8 | if the pH is less than 7.35, Acedemia, pH greater than 7.45, Alkolemia. Normal by carb, 22 to 26, normal |
| 0:49.6 | PCO2 35 to 45. And like I said last time, quick purl, majority of the time, as there are always |
| 0:57.6 | exceptions, pH and bicarved if they move in the same direction from normal, |
| 1:02.5 | primary metabolic process. |
| 1:04.8 | pH and PCO2 move in opposite directions from normal. |
| 1:09.0 | It's a primary respiratory process. |
| 1:12.2 | So two things that I didn't mention last time. One, there's partially |
| 1:17.5 | compensated, aka the pH is still abnormal and fully compensated, |
| 1:23.2 | aka pH has normalized. |
| 1:26.0 | This helps with management, but it'll help you with test questions |
| 1:30.0 | that ask and then in the answer it says is it partially compensated fully |
| 1:34.6 | compensated look at the pH. Two if an A, B, G reveals partial |
| 1:40.1 | compensation and the kidneys four days or lungs 12 to 24 hours, haven't |
... |
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