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Fencle-Stewart vs Kellum: Acid-Base Analysis by Andy F Monroe is a document available to read on EtoBox.

Here are the key points about this case: - The patient has multiple trauma which can cause metabolic acidosis from lactic acidosis - pH is 7.35, slightly low but not severely acidotic - HCO3 is low at 18 mEq/L, indicating a metabolic acidosis - PCO2 is normal, so there is no respiratory compensation - Na, K, Cl, Ca, Mg, Alb levels are all normal - Based on the normal electrolytes, SIDa would be expected to be normal (~40) - Measured HCO3 as SIDe is low at 18 - Therefore, there must be an unmeasured anion

Author

Andy F Monroe

Language

EN