Gasometria Flashcards

1
Q

Valor Bicarbonato

A

22 - 30

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2
Q

Valor pH

A

7.35 - 7.45

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3
Q

valor PCO2

A

35 - 45

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4
Q

Cuando es Acidosis Metabólica

A
  • (-) pH
  • (-) HCO3

Compensado: (-) pCO2

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5
Q

Cuando es Acidosis Respiratoria

A
  • (-) pH
  • (+) pCO2

Compensatoria: (+) HCO3

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6
Q

Cuando es Alcalosis Metabólica

A
  • (+) pH
  • (+) HCO3

Compensatorio: (+) pCO2

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7
Q

Cuando es alcalosis respiratoria

A
  • (+) pH
  • (-) pCO2

Compensatorio: (-) HCO3

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8
Q

Acidosis respiratoria Etiologia

A

Hipoventilacion
* Enfisema
* Fiborsis pulmonar
* EPOC

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9
Q

Sintomas de Acidosis Respiratoria

A
  • Diaforesis
  • Cefalea
  • Taquicardia
  • Confusion
  • Inquietud
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10
Q

Acidosis Respiratoria
Sintomas

A
  • Diaforesis
  • Disnea
  • Cefalea
  • Temblores
  • Taquicardia
  • Confusion
  • Ansiedad
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11
Q

Acidosis Respiratoria causas

A
  • Depresion del centro respiratorio
  • Paralisis de los musculos respiratorio
  • Problemas de la caja toracica
  • Trastornos del pulmon
  • Obstruccion de la via aerea
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12
Q

Acidosis Respiratoria
Tratamiento

A

Broncodilatoadores
* Sabutamol

Ventilacion o presion +

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13
Q

Alcalosis respiratoria
Etiologia

A

Disminucion de pCO2
Hiperventilacion

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14
Q

Alcalosis respiratoria
Causas

A
  • Disminucion de HOC3
  • Hipoxemia
  • Hiperventilacion
  • Ventilacion mecanica
    |
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15
Q

Alcalosis respiratoria
Etiologia

A
  • Respirar dentro de una bolsa de papel
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16
Q

Acidosis Metabolica
Causas

A
  • Disminucion de HCO3 en plasma
  • Exceso perdidas
  • Diarrea, fistula intestinal
  • Acidosis lactica
  • Cetoacidosis
17
Q

Parametros para reponer bicarbonato

A
  • pH inferior a 7.20
  • menos 7 en cetoacidosis diabetica
18
Q

Como se repone Bicarbonato

formula

A
  1. H: 24 x (PCO2 + 5 / HCO3)
  2. r// se lo resta con el bicarbonato del paciente
  3. Se lo multiplica x 42 (agua corporal)
  4. El valor final es la cantidad de bicarbonato en ampollas que hya quedarle al pacinete en 3 horas
  5. Divides para 3 ( /3 horas)

1 ampolla de bicarbonato es de 10cc

19
Q

Alcalosis Metabolica
Causas

A
  • Incremento de HCO3
  • Vomitos prolongados
  • Uso diureticos
  • Hipopotasemia
20
Q

Alcalosis metabólica
Tratamiento

A
  • Ss al 0.9% con cloruro
  • Hidratacion
  • Dialisis