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IBCC Episode 54 - Approach to Acid Base Disorders

The Internet Book of Critical Care Podcast

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Is There a Primary Respiratory Disorder?

The ratios were probably developed in a very specificlae, and it's very difficult to generalize. It's really rare to have a metabolic acedosis from a chronic respiratory acalosis unless we're screwing up the vent. So i think on the whole using an a, b, gr, v b g to search for primary respiratory disorder, it's a little bit of a zebra. Sometimes you'll find goodness here, but most of the time i feel like youre be poking a lot of patients and not getting a lot of good, useful information.

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