{"id":1953,"date":"2021-07-12T17:45:35","date_gmt":"2021-07-12T20:45:35","guid":{"rendered":"http:\/\/nave.vet.br\/?p=1953"},"modified":"2025-03-09T21:03:18","modified_gmt":"2025-03-10T00:03:18","slug":"equilibrio-acido-base","status":"publish","type":"post","link":"https:\/\/nave.vet.br\/en\/video-aulas\/equilibrio-acido-base\/","title":{"rendered":"Equil\u00edbrio \u00c1cido-Base \u2013 Anestesia e\u0301 o Ba\u0301sico #21"},"content":{"rendered":"<div id=\"advads-3965436027\" class=\"advads-antes-do-post advads-entity-placement\" style=\"margin-bottom: 30px;margin-left: auto;margin-right: auto;text-align: center;\"><div class=\"advads-antes-do-post advads-entity-placement\" style=\"text-align: center;\" id=\"advads-3871881355\"><div id=\"advads-3447926603\"><a href=\"https:\/\/botupharmapet.com.br\/produto\/firovet-dog-pasta-oral\" aria-label=\"banner_firovet\"><img src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2023\/03\/banner_firovet.png?fit=1000%2C137&#038;ssl=1\" alt=\"\"  srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2023\/03\/banner_firovet.png?w=1000&ssl=1 1000w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2023\/03\/banner_firovet.png?resize=300%2C41&ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2023\/03\/banner_firovet.png?resize=768%2C105&ssl=1 768w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2023\/03\/banner_firovet.png?resize=18%2C2&ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" width=\"1000\" height=\"137\"   \/><\/a><\/div><\/div><\/div>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"2\u20e31\u20e3 EQUIL\u00cdBRIO \u00c1CIDO BASE | Anestesia e\u0301 o Ba\u0301sico #21\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/znCaM71Rljk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>Ol\u00e1 tripulantes do NAVE, tudo bem? Nessa videoaula da webserie Anestesia \u00e9 o B\u00e1sico vamos conversar sobre a Equil\u00edbrio \u00e1cido-base (EAB), abordando os sistemas tamp\u00e3o fisiol\u00f3gicos, como avaliar o EAB e os dist\u00farbios \u00e1cido-base mais frequentes.<\/p>\n\n\n\n<p>Os processos metab\u00f3licos s\u00e3o fundamentais para a produ\u00e7\u00e3o de energia, mas tamb\u00e9m produzem \u00e1cidos vol\u00e1teis e fixos, que devem ser neutralizados para manter o pH sangu\u00edneo est\u00e1vel. O pH reflete a concentra\u00e7\u00e3o de \u00edons H<sup>+<\/sup> em uma solu\u00e7\u00e3o, que nesse caso \u00e9 o sangue. Em condi\u00e7\u00f5es fisiol\u00f3gicas normais a [H<sup>+<\/sup>] \u00e9 de 40 nEq\/L, o que representa um pH de 7,398. Na pr\u00e1tica, o pH considerado normal em mam\u00edferos dom\u00e9sticos est\u00e1 entre 7,35 e 7,45. As [H<sup>+<\/sup>] compat\u00edveis com a vida est\u00e3o entre 16 e 160 nEq\/L (7,79 \u2013 6,80). Para isso, o corpo trabalha com diversos sistemas tamp\u00e3o, a fim de neutralizar essa produ\u00e7\u00e3o de \u00e1cidos<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"sistemas-tampao\">Sistemas Tamp\u00e3o<\/h4>\n\n\n\n<p>Basicamente, o organismo trabalha com tr\u00eas tipos de sistemas-tamp\u00e3o. O primeiro \u00e9 composto pelos tamp\u00f5es qu\u00edmicos sangu\u00edneos, que atuam imediatamente no controle da [H<sup>+<\/sup>] e, assim, s\u00e3o a primeira linha na tentativa de neutralizar o excesso de H+. Os principais s\u00e3o o bicarbonato, o fosfato e as prote\u00ednas circulantes. Ainda que o bicarbonato n\u00e3o seja o mais eficiente em neutralizar H<sup>+<\/sup>, ele est\u00e1 em maior abund\u00e2ncia no sangue, sendo mais efetivo. Ele tem a capacidade de se ligar ao \u00edon H<sup>+<\/sup>, formando o \u00e1cido carb\u00f4nico, que por sua vez, \u00e9 convertido em H<sub>2<\/sub>O e CO<sub>2<\/sub>, que \u00e9 eliminado preferencialmente pelo sistema pulmonar.<\/p><div id=\"advads-2066488178\" class=\"advads-adsense-in-article advads-entity-placement\"><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-9687921986569993\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-client=\"ca-pub-9687921986569993\" \ndata-ad-slot=\"1211285291\" \ndata-ad-layout=\"in-article\"\ndata-ad-format=\"fluid\"><\/ins>\n<script> \n(adsbygoogle = window.adsbygoogle || []).push({}); \n<\/script>\n<\/div>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"352\" src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato.png?resize=800%2C352\" alt=\"\" class=\"wp-image-1955\" style=\"width:553px;height:243px\" srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato.png?resize=1024%2C451&amp;ssl=1 1024w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato.png?resize=300%2C132&amp;ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato.png?resize=768%2C338&amp;ssl=1 768w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato.png?resize=1536%2C677&amp;ssl=1 1536w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato.png?resize=16%2C7&amp;ssl=1 16w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato.png?w=1639&amp;ssl=1 1639w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Tamponamento do \u00edon H<sup>+<\/sup>, pelo Bicarbonato (HCO<sub>3<\/sub><sup>&#8211;<\/sup> \/ H<sub>2<\/sub>CO<sub>3<\/sub>).<\/figcaption><\/figure>\n\n\n\n<p>A hemoglobina \u00e9 o mais importante sistema tamp\u00e3o intracelular. Nesse caso, o CO<sub>2<\/sub> se difunde facilmente do plasma para a hem\u00e1cia e \u00e9 convertido em \u00e1cido carb\u00f4nico (H<sub>2<\/sub>CO<sub>3<\/sub>), via anidrase carb\u00f4nica. O H<sub>2<\/sub>CO<sub>3<\/sub> se dissocia em HCO<sub>3<\/sub><sup>&#8211;<\/sup> e libera o H<sup>+<\/sup>. A hemoglobina, ent\u00e3o, se liga ao H<sup>+<\/sup>.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"497\" src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-hema%CC%81cia-1.png?resize=800%2C497\" alt=\"\" class=\"wp-image-1974\" style=\"width:631px;height:391px\" srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-hema%CC%81cia-1.png?w=994&amp;ssl=1 994w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-hema%CC%81cia-1.png?resize=300%2C186&amp;ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-hema%CC%81cia-1.png?resize=768%2C477&amp;ssl=1 768w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-hema%CC%81cia-1.png?resize=16%2C10&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Sistema tamp\u00e3o realizado pelas hem\u00e1cias\/hemoglobinas.<\/figcaption><\/figure>\n\n\n\n<p>O segundo tipo \u00e9 o sistema respirat\u00f3rio, que atua em quest\u00e3o de minutos, regulando a concentra\u00e7\u00e3o de CO<sub>2<\/sub>. Ele \u00e9 muito eficiente pois \u00e9 um sistema aberto, ou seja, o excesso de CO<sub>2<\/sub> produzido pelas rea\u00e7\u00f5es qu\u00edmicas \u00e9 eliminado facilmente por expira\u00e7\u00e3o. O terceiro \u00e9 composto pelos tamp\u00f5es renais, que s\u00e3o extremamente importantes, mas com atua\u00e7\u00e3o mais lenta. Geralmente demoram dias para promover alguma altera\u00e7\u00e3o na concentra\u00e7\u00e3o de H<sup>+<\/sup>. S\u00e3o muito eficazes, n\u00e3o s\u00f3 na neutraliza\u00e7\u00e3o de \u00edons H+, mas tamb\u00e9m na elimina\u00e7\u00e3o desses \u00edons. Nesse casos tem-se o tamp\u00e3o do bicarbonato, do fosfato e am\u00f4nia.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"455\" src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato-renal-1.png?resize=800%2C455\" alt=\"\" class=\"wp-image-1967\" style=\"width:630px;height:353px\" srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato-renal-1.png?w=944&amp;ssl=1 944w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato-renal-1.png?resize=300%2C171&amp;ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato-renal-1.png?resize=768%2C437&amp;ssl=1 768w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-bicarbonato-renal-1.png?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"443\" src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-fosfato-renal-1.png?resize=800%2C443\" alt=\"\" class=\"wp-image-1968\" style=\"width:637px;height:352px\" srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-fosfato-renal-1.png?w=969&amp;ssl=1 969w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-fosfato-renal-1.png?resize=300%2C166&amp;ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-fosfato-renal-1.png?resize=768%2C426&amp;ssl=1 768w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-fosfato-renal-1.png?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-amonia-renal-1.png?resize=800%2C447\" alt=\"\" class=\"wp-image-1969\" style=\"width:630px;height:352px\" srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-amonia-renal-1.png?w=954&amp;ssl=1 954w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-amonia-renal-1.png?resize=300%2C168&amp;ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-amonia-renal-1.png?resize=768%2C429&amp;ssl=1 768w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/EAB-amonia-renal-1.png?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"como-avaliar-o-eab\">Como avaliar o EAB<\/h4>\n\n\n\n<p>Os dist\u00farbios do EAB s\u00e3o diagnosticados pelo exame de hemogasometria, que preferencialmente deve ser feito com sangue arterial, para que seja poss\u00edvel analisar os componentes respirat\u00f3rios e metab\u00f3licos. Por\u00e9m, tamb\u00e9m pode ser usado sangue venoso mas, nesse caso, apenas as altera\u00e7\u00f5es metab\u00f3licas ser\u00e3o diagnosticadas. O exame deve ser analisado o mais r\u00e1pido poss\u00edvel, para que n\u00e3o haja altera\u00e7\u00f5es decorrentes do metabolismo celular. No caso, teremos os dados de pH, PaCO<sub>2<\/sub>, PaO<sub>2<\/sub>, SaO<sub>2<\/sub>, HCO<sub>3<\/sub><sup>&#8211;<\/sup>, Na<sup>+<\/sup>, K<sup>+<\/sup>, Cl<sup>&#8211;<\/sup>, H<sup>+<\/sup>, intervalo i\u00f4nico e excesso ou d\u00e9ficit de bases. A tabela abaixo apresenta os principais par\u00e2metros obtidos pela hemogasometria e o intervalo fisiol\u00f3gico em c\u00e3es, gatos, equinos e ruminantes.  <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?resize=800%2C448\" alt=\"\" class=\"wp-image-1960\" srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?resize=1024%2C574&amp;ssl=1 1024w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?resize=300%2C168&amp;ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?resize=768%2C431&amp;ssl=1 768w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?resize=1536%2C861&amp;ssl=1 1536w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?resize=16%2C9&amp;ssl=1 16w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?w=1730&amp;ssl=1 1730w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Hemogaso-NAVE.png?w=1600 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"disturbios-do-equilibrio-acido-base\">Dist\u00farbios do Equil\u00edbrio \u00e1cido-base<\/h4>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>Os dist\u00farbios do EAB s\u00e3o de origem respirat\u00f3ria ou metab\u00f3lica, podendo tamb\u00e9m ocorrerem ao mesmo tempo, o que chamamos de dist\u00farbios mistos. A interpreta\u00e7\u00e3o detalhada do exame de hemogasometria vai nos indicar qual dist\u00farbio do EAB (ou quais) o paciente apresenta. Geralmente temos altera\u00e7\u00f5es no pH e PaCO<sub>2<\/sub> quando os dist\u00farbios s\u00e3o de origem respirat\u00f3ria no pH, PaCO<sub>2<\/sub>, HCO<sub>3<\/sub><sup>&#8211;<\/sup>, Cl<sup>&#8211;<\/sup>, intervalo i\u00f4nico (anion gap &#8211; AG) e excesso ou d\u00e9ficit de bases (base excess &#8211; BE) quando s\u00e3o de origem metab\u00f3lica. Alguns valores podem at\u00e9 estar &#8220;falsamente&#8221; na faixa fisiol\u00f3gica, quando temos altera\u00e7\u00f5es fisiol\u00f3gicas de compensa\u00e7\u00e3o. As principais altera\u00e7\u00f5es s\u00e3o:<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div id=\"advads-3684309705\"><a href=\"https:\/\/vetnar.com.br\/produto\/exame-de-hemogasometria\/\" aria-label=\"hemogasometria\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2024\/03\/hemogasometria.jpg?fit=642%2C360&#038;ssl=1\" alt=\"\"  srcset=\"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2024\/03\/hemogasometria.jpg?w=642&#038;ssl=1 642w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2024\/03\/hemogasometria.jpg?resize=300%2C168&#038;ssl=1 300w, https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2024\/03\/hemogasometria.jpg?resize=18%2C10&#038;ssl=1 18w\" sizes=\"(max-width: 642px) 100vw, 642px\" width=\"642\" height=\"360\"   \/><\/a><\/div><\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acidose Respirat\u00f3ria: \u00c9 muito comum em situa\u00e7\u00f5es de anestesia em que h\u00e1 hipoventila\u00e7\u00e3o, mas tamb\u00e9m pode ocorrer em pneumopatias, obstru\u00e7\u00e3o de vias a\u00e9reas, instabilidade da caixa tor\u00e1cica, insufici\u00eancia card\u00edaca dentre outras situa\u00e7\u00f5es em que h\u00e1 defici\u00eancia nas trocas gasosas. Geralmente observamos pH &lt; 7,35, com aumento da PaCO<sub>2<\/sub>.<\/li>\n\n\n\n<li>Alcalose Respirat\u00f3ria: \u00c9 um pouco menos frequente que o anterior e est\u00e1 associado a situa\u00e7\u00f5es de ventila\u00e7\u00e3o mec\u00e2nica inadequada, com excesso de V<sub>T<\/sub> ou V<sub>m<\/sub>, ou em doen\u00e7a neurol\u00f3gica, hipertermia e dor. Geralmente observamos pH &gt; 7,45, devido \u00e0 diminui\u00e7\u00e3o da PaCO<sub>2<\/sub>.<\/li>\n\n\n\n<li>Acidose Metab\u00f3lica: \u00c9 o dist\u00farbio do EAB mais frequente em c\u00e3es, gatos e equinos. As principais causas s\u00e3o diarreias, azotemia, choque hemorr\u00e1gico, cetoacidose e quaisquer situa\u00e7\u00f5es em que haja falta de oxigena\u00e7\u00e3o tecidual, consumo excessivo de O<sub>2<\/sub> e\/ou catabolismo anaer\u00f3bico. H\u00e1 perda excessiva de HCO<sub>3<\/sub><sup>&#8211;<\/sup> ou mesmo consumo desta base, e consequentemente excesso de H<sup>+<\/sup>, resultando em aumento no \u00e2nion gap. O D\u00e9ficit de bases tamb\u00e9m estar\u00e1 bem mais negativo que o normal. A hemogasometria padr\u00e3o apresenta pH &lt; 7,35, HCO<sub>3<\/sub><sup>&#8211;<\/sup> reduzido, AG elevado e BE bem diminu\u00eddo. Tamb\u00e9m podemos observar PaCO<sub>2<\/sub> abaixo de 35 mmHg, na tentativa de compensar o pH. Nesse caso teremos acidose metab\u00f3lica compensat\u00f3ria (alcalose respirat\u00f3ria). Os n\u00edveis de AG tamb\u00e9m podem estar normais, caso tenhamos hipercloremia associada.<\/li>\n\n\n\n<li>Alcalose Metab\u00f3lica: \u00c9 causada pelo excesso de HCO<sub>3<\/sub><sup>&#8211;<\/sup>, que geralmente \u00e9 devido \u00e0 administra\u00e7\u00e3o errada de bicarbonato de s\u00f3dio, ou perda excessiva de H<sup>+<\/sup>, que geralmente acontece em casos de hiper\u00eamese, lavagem estomacal, ou uso prolongado de diur\u00e9ticos de al\u00e7a. Nesses casos teremos pH &gt; 7,45, HCO<sub>3<\/sub><sup>&#8211;<\/sup>, AG e BE elevados tamb\u00e9m. Podemos ter AG normal, desde que tenhamos hipocloremia. Tamb\u00e9m podemos observar PaCO<sub>2<\/sub> acima de 45 mmHg, na tentativa de compensar o pH.<\/li>\n<\/ul>\n\n\n\n<p><strong><a href=\"https:\/\/youtu.be\/znCaM71Rljk\" target=\"_blank\" rel=\"noreferrer noopener\">Veja as informa\u00e7\u00f5es com detalhes no v\u00eddeo!<\/a><\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h6 class=\"wp-block-heading\" id=\"leia-tambem\">Leia Tamb\u00e9m<\/h6>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/nave.vet.br\/video-aulas\/basico\/fluidoterapia\/\">Fluidoterapia \u2013 Anestesia \u00e9 o B\u00e1sico #22<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/nave.vet.br\/video-aulas\/basico\/farmacologia_anestesicos-locais\/\">Farmacologia dos Anest\u00e9sicos Locais \u2013 Anestesia \u00e9 o B\u00e1sico #20<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/nave.vet.br\/posts\/classificacao-do-paciente-e-checklist\/\">Classifica\u00e7\u00e3o do Paciente e Checklist<\/a><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"has-small-font-size\"><em>Pra ler depois:<\/em><br>&#8211; <a href=\"http:\/\/10.1016\/j.cvsm.2015.04.003\">Beer KS, Waddell LS. Perioperative acid-base and electrolyte disturbances. <em>Vet Clin Small Anim<\/em>, 45:941-952, 2015.<\/a> <br>&#8211; <a href=\"https:\/\/doi.org\/10.1111\/j.2042-3292.1998.tb00889.x\" target=\"_blank\" rel=\"noopener\">Corley KTT; Marr CM. Pathophysiology, assessment and treatment of acid-base disturbances in the horse. <em>Eq Vet Educ<\/em>, 10:255-265, 1998.<\/a><br>&#8211; DiBartola S. <em>Fluid, electrolyte, and acid-base disorders in small animal practice<\/em>. 4th ed, 744p, 2011.<br>&#8211; <a href=\"http:\/\/10.1016\/j.tcam.2020.100403\">Rauserova-Lexmaulova L et al. Acid-Base, Electrolyte and lactate abnormalities as well as gastric necrosis and survival in dogs with gastric dilation-volvulus syndrome. A retrospective study in 75 dogs. <em>Topic Co Ani Med,<\/em> 39:100403, 2020.<\/a><br>&#8211; Teixeira-Neto FJ, Garofalo NA. Fluidoterapia, equil\u00edbrio \u00e1cido-base e eletrol\u00edtico em grandes animais. In: Luna SPL, Carregaro AB. <em>Anestesia e Analgesia em Equ\u00eddeos, Ruminantes e Su\u00ednos<\/em>, 1a ed, 33-52, 2019.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><strong>Sugest\u00f5es? Considera\u00e7\u00f5es? Pensamentos? Comente!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ol\u00e1 tripulantes do NAVE! Nessa videoaula da webserie Anestesia \u00e9 o B\u00e1sico vamos conversar sobre a Equil\u00edbrio \u00e1cido-base (EAB), abordando os sistemas tamp\u00e3o fisiol\u00f3gicos, como avaliar o EAB e os dist\u00farbios \u00e1cido-base mais frequentes. Assista para entender melhor tudo isso!<\/p>","protected":false},"author":2,"featured_media":1976,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"video","meta":{"give_campaign_id":0,"colormag_page_layout":"default_layout","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2,1],"tags":[859,862,853,863,854,864,852,14,874,861,873,848,851,850,875,858,856,860,364,781,849,855,857],"class_list":["post-1953","post","type-post","status-publish","format-video","has-post-thumbnail","hentry","category-video-aulas","category-basico","tag-acid-base-balance","tag-acid-base-disorders","tag-acidose-metabolica","tag-acidose-respiratoria","tag-acidosis-metabolica","tag-alcalose-metabolica","tag-alcalosis-metabolica","tag-anestesia-veterinaria","tag-disturbios-acido-base","tag-disturbios-acidos-basicos","tag-eab","tag-eab-veterinaria","tag-equilibrio-acido-basico","tag-equilibrio-acido-base","tag-gasometria-arterial","tag-gasometria-veterinaria","tag-interpretacao-gasometria","tag-metabolic-acidosis","tag-nave-anestesia","tag-naveabc","tag-sistema-tampao","tag-trastornos-acido-base","tag-veterinary-acid-base-balance","post_format-post-format-video"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/nave.vet.br\/wp-content\/uploads\/2021\/07\/Thumbnail-Aula-21.png?fit=1920%2C1080&ssl=1","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/posts\/1953","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/comments?post=1953"}],"version-history":[{"count":16,"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/posts\/1953\/revisions"}],"predecessor-version":[{"id":3790,"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/posts\/1953\/revisions\/3790"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/media\/1976"}],"wp:attachment":[{"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/media?parent=1953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/categories?post=1953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nave.vet.br\/en\/wp-json\/wp\/v2\/tags?post=1953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}