Normaalwaardes ICU
Arteriele bloedgassen Hemodynamics
PaO2 85-100mmHg HR 70/min
SaO2 95-100% HMV 3,5-5 l/min
PaCO2 35-45 mmHg SV 50-70 ml
pH 7.36-7.45
HCO3 23-25 mmol/l a.BP 30-50 mmHg
CVP = Central 3-6 mmHg
Interpretatie arteriele bloedgassen Venous
Hypercapnia >45 mmHg CO2 Pressure = RAP
Hypocapnia <35 mmHg CO2 RVP = right 25/0-5 mmHg
RI <60 mmHg PaO2 ventricle
Normal A-a grad 5-10 mmHg pressure
PAP = 25/10 mmHg
V/Q mismatching Pulmonary
V/Q < 1 Hypoxemia / Arterial
hypercapnie Pressure
Hogere PaCO2 / lagere PCWP = 8/12 mmHg
PaO2 Pulmonary
V/Q > 1 Lagere PaCO2 / hogere Capillary Wedge
PaO2 Pressure = LAP
PaO2/FiO2 ratio 200-300 mmHg Neurmonitoring
Normal pupils 3-5 mm
Respiratory insufficiency
Hypoxemic RI Hypoxemia PaO2 < 60 ICP 0/5-10/15 mmHg
mmHg Clinical limit ICP 20 mmHg
PaCO2 = normal
Hypercapnic RI Hypoxemia PaO2 < 60 CBF = Cerebral CPP / CVR
mmHg blood flow 50-60 ml / 100 gr / min
PaCO2 > 45-50 mmHg CPP = Cerebral 60-100 mmHg
Perfusion CPP = MAP – ICP
pH waardes Pressure
PaCO2 Respiratoire component CVR =
HCO3 Metabolische Cerebrovascular
component Resistance
MAP = Mean (SP + 2 x DP) / 3
PCO2 toename Respiratoire acidosis Arterial 80-100 mmHg
HCO3 afname Metabolische acidosis Pressure
PCO2 afname Respiratoire alkalosis
HCO3 toename Metabolische alkalosis MAP toename Vasoconstrictie
MAP afname Vasodilatatie
Ideale positie 30 graden elevatie hoofd
ICP
Arteriele bloedgassen Hemodynamics
PaO2 85-100mmHg HR 70/min
SaO2 95-100% HMV 3,5-5 l/min
PaCO2 35-45 mmHg SV 50-70 ml
pH 7.36-7.45
HCO3 23-25 mmol/l a.BP 30-50 mmHg
CVP = Central 3-6 mmHg
Interpretatie arteriele bloedgassen Venous
Hypercapnia >45 mmHg CO2 Pressure = RAP
Hypocapnia <35 mmHg CO2 RVP = right 25/0-5 mmHg
RI <60 mmHg PaO2 ventricle
Normal A-a grad 5-10 mmHg pressure
PAP = 25/10 mmHg
V/Q mismatching Pulmonary
V/Q < 1 Hypoxemia / Arterial
hypercapnie Pressure
Hogere PaCO2 / lagere PCWP = 8/12 mmHg
PaO2 Pulmonary
V/Q > 1 Lagere PaCO2 / hogere Capillary Wedge
PaO2 Pressure = LAP
PaO2/FiO2 ratio 200-300 mmHg Neurmonitoring
Normal pupils 3-5 mm
Respiratory insufficiency
Hypoxemic RI Hypoxemia PaO2 < 60 ICP 0/5-10/15 mmHg
mmHg Clinical limit ICP 20 mmHg
PaCO2 = normal
Hypercapnic RI Hypoxemia PaO2 < 60 CBF = Cerebral CPP / CVR
mmHg blood flow 50-60 ml / 100 gr / min
PaCO2 > 45-50 mmHg CPP = Cerebral 60-100 mmHg
Perfusion CPP = MAP – ICP
pH waardes Pressure
PaCO2 Respiratoire component CVR =
HCO3 Metabolische Cerebrovascular
component Resistance
MAP = Mean (SP + 2 x DP) / 3
PCO2 toename Respiratoire acidosis Arterial 80-100 mmHg
HCO3 afname Metabolische acidosis Pressure
PCO2 afname Respiratoire alkalosis
HCO3 toename Metabolische alkalosis MAP toename Vasoconstrictie
MAP afname Vasodilatatie
Ideale positie 30 graden elevatie hoofd
ICP
