Equilibrio Acido Base Flashcards

1
Q

pH compatible con la Vida

A

6.8 a 7.8

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2
Q

Principales sistemas de regulación AB

A

Sistema de bicarbonato, centro respiratorio y sistema renal

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3
Q

Sistema de amortiguación más efectivo

A

Sistema de amortiguación renal

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4
Q

Medidas directas en una gasometria

A

pH, PaO2 y PaCO2

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5
Q

Fórmula Anion GAP

A

Na-(Cl+HCO3)

Normal 12 mmol

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6
Q

Anion GAP corregido

A

Fórmula de Figge

AG + 0.25 (albumina normal x albumina real)

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7
Q

Causas de aumento de Anion GAP

A

Metanol, Uremia, CAD, Paraldehido, Isoniazida o Hierro, acidosis lactica, etilenglicol, salicilatos

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8
Q

Fórmula compensación

A

Fórmula de Winter

(1.5 x HCO3) + 8 +- 2

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9
Q

Acidosis metabólica

A

⬇️ pH, ⬇️ HCO3 y ⬇️ PCO2

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10
Q

Alcaldía metabólica

A

⬆️ pH, ⬆️ HCO3 y ⬆️ PCO2

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11
Q

Acidosis respiratoria

A

⬇️ pH, ⬆️ HCO3 y ⬆️ PCO2

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12
Q

Alcalosis respiratoria

A

⬆️ pH, ⬇️ HCO3 y ⬇️ PCO2

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13
Q

Acidosis mixta

A

⬇️ pH, ⬇️ HCO3 y ⬆️ PCO2

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14
Q

Alcalosis mixta

A

⬆️ pH, ⬆️ HCO3 y ⬇️ PCO2

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15
Q

Efectos de la acidosis

A

Depresión miocardica y disminución de resistencia vascular periférica

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16
Q

Fórmula Delta GAP y uso

A

(AG real - AG ideal) / (HCO3 ideal - HCO3 real)

Para ver si hay otros trastornos AB adicionales en un AG elevado