بسم الله الرحمن الرحيم ل ما علمتنا قالوا سبحانكل علم لنا إ ” إنك أنت العليم الحكيم“ صدق الله العظيم سورة البقرة ايه 32
Indications I-Respiratory Diseases severe pneumonia Status Asthmatics ARF-5
2-RDS-1 4- Acute bronchiolitis-2
II-Cardiac Diseases Severe HF-1 )Critical Cases )blue spell-2
)III-Metabolic Diseases )Electrolytes Severe GE DKA-2
:IV-POISING Salicylates
3-ARF-1
Symbols S
Saturation of hemoglobin
A
Alveolar gas
P
Partial pressure=tension
a
Arterial
V
Ventilation
Q
COP
Pao2=partial pressure of oxygen in arterial blood
OXYGENATION-1 VENTILATION-2 ACID BASE STATUS-3
OXYGENATION-1
>80 mmHg 60-79 mmHg 50-59 mmHg <50 mmHg
PaO2 Normal Mild Moderate Severe
oxygenation hypoxemia hypoxemia hypoxemia
VENTILATION-2
Pa CO2 Normal ventilation mmHg 35-45= Hyperventilation mmHg 35 > Hypoventilation mmHg 45 < Respiratory failure mmHg 50 <
ACID BASE STATUS-3 A-Acidosis or Alkalosis pH Normal acid base status 7.35-7.45= Alkalosis 7.45< Acidosis 7.35> B-Respiratory or Metabolic Alteration of CO2 Respiratory Alteration of HCO3 Metabolic
An infant 1y presenting with mild RD PARAMETER
PATIENT
INTERPRETATION
NORMAL
O2 mmHg CO2 mmHg PH HCO3 mEq/L
90 40 7.38 23
80-90
N
Normal oxygenation
35-45
N
Normal ventilation
7.35-7.45
N
Normal acid-base status
22-26
N
No metabolic alteration
NORMAL ABG
An infant 1y presenting with moderate RD PARAMETER
PATIENT
INTERPRETATION
NORMAL
O2 mmHg CO2 mmHg PH HCO3 mEq/L
75 40 7.38 23
80-90
↓
MILD HYPOXEMIA
35-45
N
Normal ventilation
7.35-7.45
N
Normal acid-base status
22-26
N
No metabolic alteration
MILD HYPOXEMIA
An infant 1y presenting with HPS PARAMETER
PATIENT
INTERPRETATION
NORMAL
O2 mmHg CO2 mmHg PH HCO3 mEq/L
90 40 7.58 33
80-90
N
Normal oxygenation
35-45
N
Normal ventilation
7.35-7.45
↑
ALKALOSIS
22-26
↑
METABOLIC
METABOLIC ALKALOSIS
An infant 1y presenting with severe RD PARAMETER
PATIENT
INTERPRETATION
NORMAL
O2 mmHg CO2 mmHg PH HCO3 mEq/L
90 50 7.08 23
80-90
N
Normal oxygenation
35-45
↑
HYPOVENTALATION
7.35-7.45
↓
ACIDOSIS
22-26
N
No metabolic alteration
RESPIRATORY ACIDOSIS
An infant 1y presenting with JDM PARAMETER
PATIENT
INTERPRETATION
NORMAL
O2 mmHg CO2 mmHg PH HCO3 mEq/L
90 40 7.18 10
80-90
N
Normal oxygenation
35-45
N
Normal ventilation
7.35-7.45
↓
ACIDOSIS
22-26
↓
METABOLIC
METABOLIC ACIDOSIS
An infant 1y presenting with aspirin poising PARAMETER
PATIENT
INTERPRETATION
NORMAL
O2 mmHg CO2 mmHg PH HCO3 mEq/L
90 20 7.58 24
80-90
N
Normal oxygenation
35-45
↓
HYPERVENTILATION
7.35-7.45
↑
ALKALOSIS
22-26
N
NOT METABOLIC
RESPIRATORY ALKALOSIS
Significance I-Diagnostic Assess severity of disease 2-Diagnose 1ry disorder-1
II-Therapeutic Hypoxemia-1 O2 therapy Ventilatory status-2 assess ventilation Metabolic A-B imbalance-3 add alkali or acid
III-Prognostic & Follow up .Assess ventilation
2-Response to ttt-1