Mixed Metabolic and Respiratory Acid-Base Disturbances: Diagnosis and Treatment
1972; Elsevier BV; Volume: 62; Issue: 2 Linguagem: Inglês
10.1378/chest.62.2_supplement.35s
ISSN1931-3543
Autores Tópico(s)Cardiac Arrest and Resuscitation
ResumoPatients with primary ventilatory disturbances often have associated with their respiratory alkalosis or acidosis complicating metabolic acid-base disorders which profoundly affect their response to the respiratory disturbance. Physicians caring for them must be able to recognize these mixed disturbances if treatment is to be successful. Some day, computer terminals for diagnosis of acid-base problems will be standard equipment in most hospitals, 1 Goldberg M, Green SB, Moss ML, et at: Computer-based instruction and diagimsis of acid-base disorders: a systematic approach. JAMA (in press) Google Scholar but until such electronic consultation is readily available, clinicians must rely on their own ability to analyze acid-base data correctly. Basic to correct analysis of mixed acid-base disturbances is an understanding of normal compensatory processes in the four simple acid-base disorders. Elsewhere in this issue, Rastegar and Thier have reviewed the normal physiologic responses to acute and chronic hyper- and hypocapnia. This paper reviews the compensatory changes which occur in metabolic acid-base disturbances and tries to show how these disorders affect the diagnosis and management of patients with ventilatory abnormalities.
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