Trastornos renales e hidroelectrolíticos

C a p í t u l o 4 Fisiopatología y tratamiento de los trastornos acidobásicos respiratorios y mixtos 135

Tabla 4–5 Ejemplo de un trastorno acidobásico triple Acontecimiento clínico Vómitos → Shock hipovolémico →

Hiperventilación

↓

↓

↓

Trastorno  acidobásico

Alcalosis  metabólica

Acidosis metabólica

Alcalosis

+

+

respiratoria

pH

7.53

7.35

7.46

(mmHg)

44 36 12

30 16 30

20 14 32

PaCO 2 [HCO 3

− ] (mmol/L)

Desequilibrio aniónico (mEq/L)

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