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Wednesday, April 4, 2018

Winters' formula

Pondering Acid-Base: Making Sense of the Chaos! - Pondering EM
src: www.ponderingem.com

Winters' formula, named for Dr. R.W. Winters, is a formula used to evaluate respiratory compensation when analyzing acid-base disorders and a metabolic acidosis is present. It can be given as

P C O 2 = ( 1.5 × H C O 3 - ) + 8 ± 2 {\displaystyle P_{CO_{2}}=(1.5\times HCO_{3}^{-})+8\pm 2} ,

where HCO3- is given in units of mEq/L and pCO2 will be in units of mmHg.

Winters' formula gives an expected value for the patient's PCO2; the patient's actual (measured) PCO2 is then compared to this:

  • If the two values correspond, respiratory compensation is considered to be adequate.
  • If the measured PCO2 is higher than the calculated value, there is also a primary respiratory acidosis.
  • If the measured PCO2 is lower than the calculated value, there is also a primary respiratory alkalosis.

Video Winters' formula



See Also

  • Summer's Formula

Maps Winters' formula



References

Source of the article : Wikipedia