Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-27T22:03:57.445Z Has data issue: false hasContentIssue false

34 - Acid–Base Interpretation

from Section 7 - Renal Emergencies

Published online by Cambridge University Press:  02 November 2023

By
Peter G. Czarnecki  and
Chanu Rhee
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
Get access

Summary

Acid–base disturbances are common in critically ill patients, and correct interpretation is crucial to proper management. The arterial blood gas (ABG) is the gold standard for determining acid–base status.

Keywords

acid-baseacidemicalkalemiaacidosisalkalosis arterial blood gasvenous blood gas
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 319 - 332
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cooper, DJ, Walley, KR, Wiggs, BR, et al. Bicarbonate does not improve hemodynamics in critically ill patients who have lactic acidosis: A prospective, controlled clinical study. Ann Intern Med 1990;112:492.CrossRefGoogle Scholar
Gray, A, Goodacre, S, Newby, D, et al. Noninvasive ventilation in acute cardiogenic pulmonary edema. N Engl J Med 2008;359:142–151.CrossRefGoogle ScholarPubMed
Hoste, EA, Colpaert, K, Vanholder, RC, et al. Sodium bicarbonate versus THAM in ICU patients with mild metabolic acidosis. J Nephrol 2005;18:303.Google ScholarPubMed
Maletesha, G, Singh, NK, Bharija, A, et al. Comparison of arterial and venous pH, bicarbonate, PCO2 and O2 in initial emergency department assessment. Emerg Med J 2007;24(8):569.CrossRefGoogle Scholar
Ram, FS, Picot, J, Lightowler, J, et al. Noninvasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2004;1:CD004104.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×