Beruflich Dokumente
Kultur Dokumente
through three
NH4
HCO3
) by
the
kidneys
stabilize the arterial
pH by
excretion
or retention
of acid or alkali.
is reabsorbed
in the proximal
tubule.
the remainder
and secretes
protons,
as generated
balance and
HCO3
pH = 6.1 + log
PaCO2
× 0.0301
are
matched,
production
and excretion
are
impaired
in chronic
renal
failure,
is maintained
at 40 mmHg.
−
is regulated
in PaCO2
OF DISTURBANCES
].
410
411
TABLE 40-1
CHAPTER 40
RANGE OF VALUES
DISORDER
PREDICTION OF COMPENSATION
pH
HCO3
PaCO
Metabolic PaCO
= (1.5 × HCO3
)+8±2
Low
Low
Low
acidosis
or
PaCO
mmol/L ↓ in HCO3
or
PaCO
= HCO3
+ 15
Metabolic PaCO
High
High
High
alkalosis
mmol/L ↑ in HCO3
or
PaCO
10 mmol/L ↑ in HCO3
or
PaCO
= HCO3
+ 15
Respiratory High
Low
Low
alkalosis
Acute
HCO3
Chronic
−
HCO3
Respiratory Low
High
High
acidosis
Acute
HCO3
Chronic
HCO3
PaCO2
= (1.5 × HCO3
−
) + 8 ± 2, i.e., the PaCO2
is expected
in HCO3
HCO3
PaCO2
changes in HCO3
<24 or >28
of the response
in HCO3
elicit predictable
compensatory
respiratory
responses.
acidosis caused by
an increase
in endogenous
acids
(e.g.,
HCO3
is to use an
rule
out a mixed
disturbance.
Imposition of one
or PaCO2
to PaCO2