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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
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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

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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

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