by Tarek Abdelhamid MD 2014

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Med-Learn
 C02 H2O

H2C03
Carbonic acid

H (acid) HCO3
Bicarbonate
 Metabolic Acidosis

Accumulation of High net

Acid Radicals bicarbonate loss
High anion gap acidosis None anion gap acidosis

Endogenous Exogenous Renal Loss GIT Loss

DKA Aspirin 1- RTA Diarrhea
Lactic Acidosis Methanol 2- CTIN
Renal Failure Ethylene
glycol

PH CO2 HCO3
 Respiratory Acidosis
Depression of
Respiratory
Center

GBS
COPD
Myasthenia Gravis

Ascites

PH CO2 HCO3
 Metabolic Alkalosis
Loss of Acid:
Addition
Vomiting
K of Alkali

PH CO2 HCO3
 Respiratory Alkalosis

Excessive CO2 wash:

Anxiety
Bronchial asthma
Salicylate poisoning (Early)
Hyperventilation Syndrome

PH CO2 HCO3
 Check the PH

Acidosis Alkalosis

Now Look at CO2 HCO3

Matched Metabolic
with PH
Opposite
Direction Respiratory
of PH
PH CO2 HCO3
Diagnosis
PH CO2 HCO3
Diagnosis
PH CO2 HCO3
Diagnosis
PH CO2 HCO3
Diagnosis
PH CO2 HCO3 Metabolic
Acidosis

PH CO2 HCO3 Respiratory

Acidosis

PH CO2 HCO3 Metabolic

Alkalosis

Respiratory
PH CO2 HCO3 Alkalosis