How Do You Apply the Delta Delta Ratio to Your Patient?

Winter: I was always confused why a ratio one to two was still considered to be a pure agma. He says this is because the buffering of protons occurs not just in the blood itself, but also intracellularly. Winter: Now let's turn to applying this approach to our patient. Her labs included an anion gap of 30, a bicarb of 16, and a VBG with a pH of 733. And then we'll check later to see if she has another metabolic process as well.