The Physiochemical Approach to Acid-Base Management: Moving Beyond Henderson-Hasselbalch (1 Class A CE with .75 Pharm)
Sunday, September 23
10:30 AM - 11:30 AM
Location: Ballroom C, Hynes
Amin Azam, MSN, CRNA
Certified Registered Nurse Anesthetist
Kaiser Permanente School of Anesthesia
Certified Registered Nurse Anesthetists analyze arterial blood gas results within the context of strong ion differences, albumin levels, lactate levels, and the strong ion gap, and appreciate how these physiochemical phenomenon are the actual mechanisms driving trends in base deficits and base excesses. Armed with this knowledge, the clinician can move beyond the standards bicarbonate therapy, and address the root etiology of their patient's acidosis, including optimal fluid selection.
- Describe the basics of acid-base physiology in terms of the respiratory system, the renal system, and intracellular and extracellular buffers.
- Describe the conventional approach to arterial blood gas diagnosis and management using the Henderson-Hasselbalch method.
- Discuss how the physiochemical approach to acid-base management differs from the Henderson-Hasselbalch method, and consider the potential benefits of using the physiochemical approach.