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Last Update: 06/05/2024 03:14 PM

Current Deck: SLS Cards::8. Acute renal failure/ electrolyte disorders

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What is the formula you would use to determine if a metabolic acidosis is compensated or decompensated?
Winter's formula determines expected PaCO2 for the degree of metabolic acidosis.

Expected pCO2 = (1.5*HCO3-) + 8 +/- 2

Then, compare actual to expected
  • If actual pCO2 is within range of expected, the metabolic acidosis is compensated
  • If actual pCO2 is > expected --> there is also a respiratory acidosis
  • If actual pCO2 is < expected --> there is also a respiratory alkalosis