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Respect the Hydrogen Ion +

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VentilationCase Based
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The consequences of missing a severe metabolic acidosis in the patient your about to intubate can ce devastating. Low pH will be exacerbated by the apnea caused by RSI. In order to safely navigate this situation here are some rules of the road.

know what to look for

The first goal should be to identify a severe metabolic acidosis BEFORE you intubate and take away your patient’s ability to compensate. Kaussmal breathing is a classic example of respiratory compensation in metabolic acidosis with rapid deep breaths. A rapid respiratory rate without a clear cardio-pulmonary cause should make you wonder…

Match minute ventilation

In a patient with severe metabolic acidosis you need to match their minute ventilation. What is minute ventilation. Well, I’m glad you asked.

case based learning

Put your knowledge to the test. Review this case and then head over to our expert coaching station to get real-time feedback on your plan. If you can’t be with us in person you can also use the self-assessment tool below.

What’s Next

You could stop here but why would you? Explore all the content on this top by visiting the rest of the posters within this learning installation, including training labs, deliberate practice, and expert coaching stations, or return to the online masterclass for more.

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