[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-572783-105":3,"detail-sidebar-cat-1-en-105":74,"doc-detail-572783-en":120},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":67,"head_meta":69,"extra_data":71,"updated_unix":73},105,"en","acid-base-disorders-worksheet","Acid-Base Disorders Worksheet","","Acid-Base Disorders Worksheet provides a stepwise diagnostic framework for evaluating acid-base status using key blood parameters: Na+, Cl-, HCO3-, pH, and pCO2. It guides classification by pH (primary acidosis vs alkalosis) and pCO2 (respiratory vs metabolic process), then assesses for additional disorders when compensation fails. The sheet includes checks for significant anion gap metabolic acidosis, calculation of corrected bicarbonate, and a structured differential to support final diagnoses.",{"@graph":14,"@context":66},[15,34,49],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/acid-base-disorders-worksheet/572783/",4,{"url":32,"name":10,"@type":35,"author":36,"headline":10,"publisher":39,"fileFormat":42,"inLanguage":8,"description":12,"dateModified":43,"datePublished":43,"encodingFormat":42,"isAccessibleForFree":44,"interactionStatistic":45},"DigitalDocument",{"name":37,"@type":38},"PakDamar76","Person",{"url":19,"name":40,"@type":41},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":46,"interactionType":47,"userInteractionCount":4},"InteractionCounter",{"@type":48},"ViewAction",{"@type":50,"mainEntity":51},"FAQPage",[52,58,62],{"name":53,"@type":54,"acceptedAnswer":55},"Which lab values are needed for the worksheet’s acid-base assessment?","Question",{"text":56,"@type":57},"Use Na+, Cl-, HCO3-, pH, and pCO2, preferably obtained from the same blood sample.","Answer",{"name":59,"@type":54,"acceptedAnswer":60},"How does the worksheet determine whether the problem is acidosis or alkalosis?",{"text":61,"@type":57},"It first checks pH: pH > 7.4 indicates primary alkalosis, while pH \u003C 7.4 indicates primary acidosis.",{"name":63,"@type":54,"acceptedAnswer":64},"What does the worksheet use to decide between a respiratory versus metabolic process?",{"text":65,"@type":57},"It then checks pCO2: for alkalosis, pCO2 > 40 suggests metabolic alkalosis and pCO2 \u003C 40 suggests respiratory alkalosis; for acidosis, pCO2 > 40 suggests respiratory acidosis and pCO2 \u003C 40 suggests metabolic acidosis.","https://schema.org",{"og:url":32,"og:type":68,"og:title":10,"og:site_name":40,"og:description":12},"article",{"robots":70,"canonical":32},"index,follow",{"doc_id":72,"site_id":7},572783,1791929238,{"code":4,"msg":75,"data":76},"success",[77,82,87,92,97,102,106,111,116],{"id":78,"doc_module":22,"doc_module_name":25,"category_name":79,"show_sort_weight":80,"slug":81},11,"Presentations",90,"presentations",{"id":83,"doc_module":22,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},12,"Resumes",80,"resumes",{"id":88,"doc_module":22,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},14,"Invoices",70,"invoices",{"id":93,"doc_module":22,"doc_module_name":25,"category_name":94,"show_sort_weight":95,"slug":96},15,"Posters",60,"posters",{"id":98,"doc_module":22,"doc_module_name":25,"category_name":99,"show_sort_weight":100,"slug":101},16,"Social Media",50,"social-media",{"id":103,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":104,"slug":105},17,40,"forms",{"id":107,"doc_module":22,"doc_module_name":25,"category_name":108,"show_sort_weight":109,"slug":110},18,"Letters",30,"letters",{"id":112,"doc_module":22,"doc_module_name":25,"category_name":113,"show_sort_weight":114,"slug":115},21,"Paper Templates",5,"papers-templates",{"id":117,"doc_module":22,"doc_module_name":25,"category_name":118,"show_sort_weight":4,"slug":119},158,"General","general-158",{"code":4,"msg":75,"data":121},{"doc_id":72,"user_id":122,"nickname":37,"user_avatar":123,"doc_module":22,"category_id":103,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":129,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":130,"faqs":131,"seo_title":132,"seo_description":12,"update_tm":73,"read_time":4},962090893057,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Acid-­‐Base Disorders Worksheet  \n\n| Step \\#1: Gather the necessary data (Na+, Cl-­‐, HCO3-­‐, pH, pCO2)\u003Cbr>Preferably, all obtained from the same blood sample. |  |\n| --- | --- |\n|  |  |\n| Step \\#2: Look at the pH.\u003Cbr>If pH >7 .4 ~ the patient has a primary alkalosis ~ proceed to Step 3a If pH \u003C 7 .4 ~ the patient has a primary acidosis ~ proceed to Step 3b | Patient has primary:\u003Cbr>acidosis | alkalosis |\n\n\n| Step \\#3: Look at the pCO2.\u003Cbr>3a: If pCO2 is >40 ~ patient’s alkalosis is metabolic; If pCO2 is \u003C40 ~ patient’s alkalosis is respiratory\u003Cbr>3b: If pCO2 is >40 ~ patient’s acidosis is respiratory; If pCO2 is \u003C40 ~ patient’s acidosis is metabolic | Primary process is: respiratory | metabolic |\n| --- | --- |\n\n\n| Step \\#4: Look for disorders revealed by failure of compensation.\u003Cbr>-­‐ If 1o process is metabolic alkalosis ~ pCO2 should be >40 but \u003C55*\u003Cbr>* There are several metabolic alkalosis PCO2 prediction formulas, but fraught with clinical inaccuracy/unreliability\u003Cbr>-­‐ If 1o process is metabolic acidosis ~ calc. predicted pCO2 = (1 .5 x HCO3 ) + 8 +/ -­‐ 2 In either case above:\u003Cbr>-­‐ If actual pCO2 is too high ~ there is additional respiratory acidosis\u003Cbr>-­‐ If actual pCO2 is too low ~ there is additional respiratory alkalosis\u003Cbr>-­‐ If 1o process is respiratory ~ skip to steps 5 & 6 (where further metabolic disorders revealed) | Additional disorder:\u003Cbr>resp. resp.\u003Cbr>acidosis alkalosis\u003Cbr>-­‐or\u003Cbr>no additional disorder |\n| --- | --- |\n\nStep \\#5: Check if the patient has a significant anion gap (>12-­‐18). (AG = Na-­‐Cl-­‐HCO3) If AG is significantly elevated ~ the patient has an anion gap metabolic acidosisin addition to (or in confirmation of) whatever Steps 2 through 4 yielded  \nStep \\#6: Calculate the corrected bicarb. (Pt’s gap – 12 + pt’s serum bicarb) In addition to whatever disorders Steps 1 through 5 yielded,  \n-­‐ If corrected bicarb >30 ~ the patient has an underlying metabolic alkalosis;  \n-­‐ If corrected bicarb \u003C23 ~ the patient has an underlying non-­‐AG metabolic acidosis  \nPatient has|does not have:  \nAG met. acidosis Patient has underlying metabolic:  \nnon-­‐AG alkalosis acidosis  \nStep \\#7: Make the diagnosis(es) using the differentials below and knowledge of the patient  \n\n| Anion Gap | Non-­‐Anion Gap | Acute Respiratory | Metabolic | Respiratory |  |\n| --- | --- | --- | --- | --- | --- |\n| Metabolic Acidosis | Metabolic Acidosis | Acidosis | Alkalosis | Alkalosis |  |\n| \"MUDPILERS\" | \"HARDUPS\" | anything that causes | \"CLEVER PD\" | anything that causes |  |\n| Methanol | Hyperalimentation | hypoventilation, i.e.: | Contraction | hyperventilation, i.e.: |  |\n| Uremia | Acetazolamide | CNS depression (drugs/CVA) | Licorice* | CNS disease |  |\n| DKA/Alcoholic KA | Renal tubular acidosis | Airway obstruction | Endo: Conn's/Cushing's/ | Hypoxia |  |\n| Paradehyde | Diarrhea | Pneumonia | Bartter's)* | Anxiety |  |\n| Isoniazid | Uretero-­‐Pelvic shunt | Pulmonary edema | Vomiting, NG suction | Mechanical ventilators |  |\n| Lactic acidosis | Post-­‐hypocapnia | Hemo/Pneumothorax | Excess alkali* | Progesterone |  |\n| EtOH/Ethylene glycol | Spironolactone | Myopathy | Refeeding alkalosis* | Salicylates/Sepsis |  |\n| Rhabdo/Renal failure |  |  | Post-­‐hypercapnia |  |  |\n| Salicylates |  | (Chronic respiratory acidosis | Diuretics* |  |  |\n|  |  | is caused by COPD and |  |  |  |\n|  |  | restrictive lung disease) | *assoc w/high urine Cl levels |  |  |\n| Step \\#8: Fix it! |  |  |  |  |  |","cbCaia0bY2AvbLCu","https://ap.wps.com/l/cbCaia0bY2AvbLCu","pdf",89924,"English","# Step #1: Gather necessary data\n# Step #2: Determine pH-based primary disorder\n# Step #3: Classify process using pCO2\n# Step #4: Assess failures of compensation\n# Step #5: Check anion gap significance\n# Step #6: Calculate corrected bicarbonate\n# Step #7: Make diagnosis(es) using differentials\n# Step #8: Fix it!","[{\"question\":\"Which lab values are needed for the worksheet’s acid-base assessment?\",\"answer\":\"Use Na+, Cl-, HCO3-, pH, and pCO2, preferably obtained from the same blood sample.\"},{\"question\":\"How does the worksheet determine whether the problem is acidosis or alkalosis?\",\"answer\":\"It first checks pH: pH \\u003e 7.4 indicates primary alkalosis, while pH \\u003c 7.4 indicates primary acidosis.\"},{\"question\":\"What does the worksheet use to decide between a respiratory versus metabolic process?\",\"answer\":\"It then checks pCO2: for alkalosis, pCO2 \\u003e 40 suggests metabolic alkalosis and pCO2 \\u003c 40 suggests respiratory alkalosis; for acidosis, pCO2 \\u003e 40 suggests respiratory acidosis and pCO2 \\u003c 40 suggests metabolic acidosis.\"}]","Acid-Base Disorders Worksheet | PDF"]