Alteraciones Del Equilibrio Acido Base

ALTERACIONES DEL EQUILIBRIO ACIDO-BASE Dr. Jesús A. Oria Hernández Departamento de Bioquímica Facultad de Medicina Universidad Nacional Autónoma de México

EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EQUILIBRIO ACIDO-BASE Aritmética 1= 2= 3= Logaritmo (Decimal) 1= 10 2= 100 3= 1000 La relación entre el pH y [H + ] es la siguiente: pH 6.7 6.8 6.9 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 [H + ] 200 160 125 100 80 63 50 40 32 26 20 16

EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],[object Object],[object Object],[object Object]

EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],[object Object],[object Object]

EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],[object Object]

EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],Base Ácido

EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],K

EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],pK del par HCO 3 - /CO 2 = 6.1 Concentraciones normales HCO 3 - = 24 ±4 mEq/L CO 2 = 38-42 mm Hg Constante de solubilidad para el CO 2 = 0.03: 40 x 0.03 = 1.2 mEq/L

ALTERACIONES DEL EQUILIBRIO ACIDO-BASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ALTERACIONES RESPIRATORIAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ALTERACIONES METABOLICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COMPENSACION DE LAS ALTERACIONES ACIDO-BASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ALTERACIONES DEL EQUILIBRIO ACIDO-BASE HCO 3 - Disminuye Aumenta CO 2 Disminuye Alcalosis respiratoria HCO 3 - Aumenta Disminuye CO 2 Aumenta Acidosis respiratoria pCO 2 Aumenta Aumenta HCO 3 - Aumenta Alcalosis metabólica pCO 2 Disminuye Disminuye HCO 3 - Disminuye Acidosis metabólica Respuesta compensatoria pH Alteración primaria Trastorno

Acidosis metabólica Fisiopatología ,[object Object],[object Object],[object Object],[object Object],[object Object]

Anión Gap (Hiato, brecha aniónica) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Acidosis metabólica con Anión gap elevado ,[object Object],[object Object],[object Object],[object Object],[object Object]

Acidosis metabólica Diagnostico ,[object Object],[object Object],[object Object]

Acidosis metabólica Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alcalosis metabólica Fisiopatología ,[object Object],[object Object],[object Object],[object Object]

Alcalosis metabólica Diagnostico ,[object Object],[object Object],[object Object]

Alcalosis metabólica Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object]

Acidosis respiratoria Fisiopatología ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acidosis respiratoria Diagnostico ,[object Object],[object Object],[object Object]

Acidosis respiratoria Tratamiento ,[object Object],[object Object],[object Object]

Alcalosis respiratoria Fisiopatología ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alcalosis respiratoria Diagnostico ,[object Object],[object Object],[object Object],[object Object]

Alcalosis respiratoria Tratamiento ,[object Object],[object Object]

Alteraciones Del Equilibrio Acido Base

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