ACID-BASE DISORDERS. THE CLINICAL USE OF THE ASTRUP METHOD OF DETERMINING PH, PCO2 AND BASE EXCESS.
Daniel M. Baer
Abstract
Daniel M. Baer
Abstract
The Astrup method for determination of arterial pH, pCO(2), and "base excess" provides a simple and accurate means for quantitation of acid-base disorders. The "base excess" value, a measure of metabolic acidosis or alkalosis, gives the clinician a valuable tool with which to estimate electrolyte replacement. The pCO(2) is a measure of respiratory acidosis or alkalosis. The pH is used as a measure of the adequacy of compensation. Several representative cases illustrate the use and interpretation of the test.
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The Astrup method for determination of arterial pH, pCO(2), and "base excess" provides a simple and accurate means for quantitation of acid-base disorders. The "base excess" value, a measure of metabolic acidosis or alkalosis, gives the clinician a valuable tool with which to estimate electrolyte replacement. The pCO(2) is a measure of respiratory acidosis or alkalosis. The pH is used as a measure of the adequacy of compensation. Several representative cases illustrate the use and interpretation of the test.
Key concepts: Alkalosis, Base excess, Respiratory acidosis, Base (topology), pCO2, Arterial pH, Acidosis, Metabolic alkalosis