{"id":82,"date":"2026-10-03T11:26:53","date_gmt":"2026-10-03T10:26:53","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/arter-kan-gazi\/"},"modified":"2026-10-03T11:26:53","modified_gmt":"2026-10-03T10:26:53","slug":"arter-kan-gazi","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/arter-kan-gazi\/","title":{"rendered":"Arteriyel Kan Gaz\u0131 (AKG) Yorumlama Hesaplay\u0131c\u0131s\u0131"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">AKG Analizi ve Asit\u2013Baz Dengesizli\u011fi Denetleyicisi<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"82\" data-favorite-title=\"Arteriyel Kan Gaz\u0131\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/arter-kan-gazi\/\" data-favorite-excerpt=\"Arteriyel kan gaz\u0131 \u00f6rne\u011fine ait pH, PaCO\u2082 ve HCO\u2083\u207b de\u011ferlerini girin; asit\u2013baz bozuklu\u011fu s\u0131n\u0131fland\u0131r\u0131l\u0131r: solunumsal veya metabolik asidoz ya da alkaloz ve akut, k\u0131smen kompanse veya tam kompanse olup olmad\u0131\u011f\u0131.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/arter-kan-gazi\/\" method=\"POST\" class=\"calculator\" id=\"calculator-82\" data-post=\"82\"><fieldset class=\"fieldset-input\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field\" id=\"input-1\"><label for=\"field-1\">pH<\/label><input type=\"text\" name=\"ph\" id=\"field-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"0\" max=\"14\" value=\"7.4\"\/><\/div><div class=\"field\" id=\"input-2\"><label for=\"field-2\">paCO\u2082<\/label><input type=\"text\" name=\"paco\" id=\"field-2\" aria-describedby=\"calc-unit-2\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"0\" value=\"40\"\/><div class=\"unit\" id=\"calc-unit-2\">mmHg<\/div><\/div><div class=\"field\" id=\"input-3\"><label for=\"field-3\">HCO\u2083\u207b<\/label><input type=\"text\" name=\"hco\" id=\"field-3\" aria-describedby=\"calc-unit-3\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"0\" value=\"24\"\/><div class=\"unit\" id=\"calc-unit-3\">mEq\/L<\/div><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"82\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> Sonu\u00e7lar\u0131n\u0131z<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>AKG Analizi<\/span><span class=\"result-term\">abg-result<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"82\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>Arteriyel Kan Gaz\u0131 Yorumlama Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ 7.35 \\le \\mathrm{pH} \\le 7.45, \\qquad 35 \\le \\mathrm{PaCO_2} \\le 45~\\mathrm{mmHg}, \\qquad 22 \\le \\mathrm{HCO_3^-} \\le 26~\\mathrm{mEq\/L} \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>De\u011ferler:<\/strong><\/p>\n<ul>\n<li>\\( \\mathrm{pH} \\) \u2014 arteriyel kan\u0131n asitli\u011fi; normal aral\u0131k 7,35\u20137,45<\/li>\n<li>\\( \\mathrm{PaCO_2} \\) \u2014 arteriyel karbondioksidin parsiyel bas\u0131nc\u0131, solunumsal bile\u015fen; normal aral\u0131k 35\u201345 mmHg<\/li>\n<li>\\( \\mathrm{HCO_3^-} \\) \u2014 bikarbonat konsantrasyonu, metabolik bile\u015fen; normal aral\u0131k 22\u201326 mEq\/L<\/li>\n<\/ul>\n<p>Bu \u00fc\u00e7 de\u011fer birbirinden ba\u011f\u0131ms\u0131z de\u011fildir: Henderson\u2013Hasselbalch denklemiyle birbirine ba\u011fl\u0131d\u0131rlar: \\( \\mathrm{pH} = 6.1 + \\log_{10}\\left( \\frac{[\\mathrm{HCO_3^-}]}{0.03 \\times \\mathrm{PaCO_2}} \\right) \\). Hesaplay\u0131c\u0131, \u00f6l\u00e7\u00fclen her de\u011feri normal aral\u0131\u011f\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131r ve ard\u0131ndan kar\u015f\u0131t sistemin birincil bozuklu\u011fu kompanse edip etmedi\u011fini kontrol eder.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>Arteriyel Kan Gaz\u0131 \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> istirahat halindeki sa\u011fl\u0131kl\u0131 bir yeti\u015fkinden al\u0131nan arteriyel \u00f6rnek, hesaplay\u0131c\u0131n\u0131n varsay\u0131lan de\u011ferlerini verir: pH 7,40, PaCO\u2082 40 mmHg ve HCO\u2083\u207b 24 mEq\/L.<\/p>\n<p>\\[ \\mathrm{pH} = 7.40 \\in [7.35,\\ 7.45] \\\\ \\mathrm{PaCO_2} = 40\\ \\mathrm{mmHg} \\in [35,\\ 45] \\\\ \\mathrm{HCO_3^-} = 24\\ \\mathrm{mEq\/L} \\in [22,\\ 26] \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> Normal Arteriyel Kan Gaz\u0131 \u2014 \u00fc\u00e7 de\u011fer de referans aral\u0131klar\u0131 i\u00e7inde oldu\u011fundan asit\u2013baz dengesi korunmu\u015ftur.<\/p>\n<p>Kar\u015f\u0131la\u015ft\u0131rma i\u00e7in: pH 7,30, PaCO\u2082 40 mmHg ve HCO\u2083\u207b 15 mEq\/L girildi\u011finde sonu\u00e7 <strong>Akut Metabolik Asidoz<\/strong> olur: pH d\u00fc\u015f\u00fck, PaCO\u2082 h\u00e2l\u00e2 normaldir (solunumsal kompanzasyon hen\u00fcz ba\u015flamam\u0131\u015ft\u0131r) ve bikarbonat aral\u0131\u011f\u0131n \u00e7ok alt\u0131ndad\u0131r.<\/p>\n<p>\n\r\n<\/section>\n<h2>AKG Hesaplay\u0131c\u0131s\u0131 Nas\u0131l Kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li>\u00d6l\u00e7\u00fclen <strong>pH<\/strong> de\u011ferini pH alan\u0131na girin (kabul edilen de\u011ferler 0\u201314, \u00f6rn. 7,40).<\/li>\n<li>Karbondioksit de\u011ferini <strong>paCO\u2082<\/strong> alan\u0131na mmHg cinsinden girin.<\/li>\n<li>Bikarbonat de\u011ferini <strong>HCO\u2083\u207b<\/strong> alan\u0131na mEq\/L cinsinden girin (bir\u00e7ok laboratuvar mmol\/L olarak bildirir; say\u0131sal olarak ayn\u0131d\u0131r).<\/li>\n<li>S\u0131n\u0131fland\u0131rmay\u0131 <strong>AKG Analizi<\/strong> sonucundan okuyun \u2014 \u00f6rne\u011fin \"Akut Solunumsal Asidoz\", \"Kompanse Metabolik Asidoz\", \"Kar\u0131\u015f\u0131k Bozukluklar\" veya \"Normal Arteriyel Kan Gaz\u0131\".<\/li>\n<\/ol>\n<h2>Arteriyel Kan Gaz\u0131 Yorumlamas\u0131 Nedir?<\/h2>\n<p>Arteriyel kan gaz\u0131 (AKG), akut t\u0131pta en bilgilendirici tek tetkiklerden biridir. Akci\u011ferlerin kan\u0131 ne kadar iyi oksijenledi\u011fini ve akci\u011ferlerle b\u00f6breklerin birlikte asit\u2013baz dengesini ne kadar iyi korudu\u011funu g\u00f6sterir. Bildirilen de\u011ferlerden \u00fc\u00e7\u00fc asit\u2013baz durumunu tan\u0131mlar: pH (genel asitlik), PaCO\u2082 (solunumsal bile\u015fen, ventilasyonla denetlenir) ve HCO\u2083\u207b (metabolik bile\u015fen, b\u00f6brekler taraf\u0131ndan denetlenir).<\/p>\n<p>Her asit\u2013baz bozuklu\u011fu ya solunumsal ya metaboliktir ve ya asidoz ya alkalozdur \u2014 toplam d\u00f6rt temel \u00f6r\u00fcnt\u00fc. En h\u0131zl\u0131 yatak ba\u015f\u0131 kural\u0131: pH, PaCO\u2082 ile ters y\u00f6nde hareket ederse (d\u00fc\u015f\u00fck pH ile y\u00fcksek PaCO\u2082 veya y\u00fcksek pH ile d\u00fc\u015f\u00fck PaCO\u2082), birincil sorun solunumsald\u0131r; pH, HCO\u2083\u207b ile birlikte hareket ederse (ikisi de d\u00fc\u015f\u00fck veya ikisi de y\u00fcksekse), birincil sorun metaboliktir.<\/p>\n<p>Tek bir de\u011fi\u015fkeni iki sistem denetledi\u011finden, sa\u011fl\u0131kl\u0131 olan sistem her zaman bozulan sistemi d\u00fczeltmeye \u00e7al\u0131\u015f\u0131r. Akci\u011ferler dakikalar i\u00e7inde yan\u0131t verir \u2014 metabolik asidozda CO\u2082'yi atmak i\u00e7in hiperventilasyon yapar \u2014 buna kar\u015f\u0131l\u0131k b\u00f6breklerin s\u00fcre ihtiyac\u0131 saatlerden g\u00fcnlere kadar uzar; \u00f6rne\u011fin kronik solunumsal asidozda bikarbonat\u0131 tutarak. Hesaplay\u0131c\u0131n\u0131n ifadeleri bu zaman \u00e7izelgesini yans\u0131t\u0131r: <em>Akut<\/em>, kompanzasyonun hen\u00fcz ba\u015flamad\u0131\u011f\u0131; <em>K\u0131smen Kompanse<\/em>, ikinci sistemin harekete ge\u00e7ti\u011fi ancak pH'\u0131n h\u00e2l\u00e2 7,35\u20137,45 d\u0131\u015f\u0131nda oldu\u011fu; <em>Kompanse<\/em> ise pH'\u0131n normal aral\u0131\u011fa geri \u00e7ekildi\u011fi anlam\u0131na gelir. Fizyolojik kompanzasyon asla fazla d\u00fczeltme yapmaz; bu nedenle 7,40'\u0131n \"yanl\u0131\u015f\" taraf\u0131nda kalan bir pH veya beklenmedik bir y\u00f6nde hareket eden ikinci bir de\u011fer, kar\u0131\u015f\u0131k bozukluk \u015f\u00fcphesi uyand\u0131rmal\u0131d\u0131r \u2014 hesaplay\u0131c\u0131 bunu <em>Kar\u0131\u015f\u0131k Bozukluklar<\/em> olarak bildirir; bu ifade, her iki bile\u015fenin de tek bir birincil s\u00fcre\u00e7 ve kompanzasyonla a\u00e7\u0131klanamayacak bi\u00e7imde anormal oldu\u011fu anlam\u0131na gelir.<\/p>\n<p>Bikarbonat\u0131 b\u00f6brekler korudu\u011fundan, metabolik asidoz ilerlemi\u015f b\u00f6brek yetmezli\u011finin karakteristik bulgusudur. AKG metabolik asidoz g\u00f6steriyorsa b\u00f6brek fonksiyonunu tahmin etmek yerinde olur \u2014 \u00f6rne\u011fin <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/cockcroft-gault\/\">Cockcroft-Gault kreatinin hesaplay\u0131c\u0131s\u0131<\/a> veya <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/bun-kreatinin-orani\/\">BUN\/kreatinin oran\u0131 hesaplay\u0131c\u0131s\u0131<\/a> ile. Diyabetik ketoasidozda asidoza, hiperglisemi kaynakl\u0131 sodyum kaymalar\u0131 da e\u015flik eder; bunlar\u0131 <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/duzeltilmis-sodyum-hesaplama\/\">d\u00fczeltilmi\u015f sodyum hesaplay\u0131c\u0131s\u0131<\/a> ile de\u011ferlendirebilirsiniz.<\/p>\n<h2>AKG \u00d6r\u00fcnt\u00fc Ba\u015fvuru Tablosu<\/h2>\n<table>\n<thead>\n<tr>\n<th>Birincil bozukluk<\/th>\n<th>pH<\/th>\n<th>PaCO\u2082<\/th>\n<th>HCO\u2083\u207b<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Solunumsal asidoz \u2014 akut<\/td>\n<td>\u2193<\/td>\n<td>\u2191<\/td>\n<td>Normal<\/td>\n<\/tr>\n<tr>\n<td>Solunumsal asidoz \u2014 kompanse<\/td>\n<td>Normal<\/td>\n<td>\u2191<\/td>\n<td>\u2191<\/td>\n<\/tr>\n<tr>\n<td>Solunumsal alkaloz \u2014 akut<\/td>\n<td>\u2191<\/td>\n<td>\u2193<\/td>\n<td>Normal<\/td>\n<\/tr>\n<tr>\n<td>Solunumsal alkaloz \u2014 kompanse<\/td>\n<td>Normal<\/td>\n<td>\u2193<\/td>\n<td>\u2193<\/td>\n<\/tr>\n<tr>\n<td>Metabolik asidoz \u2014 akut<\/td>\n<td>\u2193<\/td>\n<td>Normal<\/td>\n<td>\u2193<\/td>\n<\/tr>\n<tr>\n<td>Metabolik asidoz \u2014 kompanse<\/td>\n<td>Normal<\/td>\n<td>\u2193<\/td>\n<td>\u2193<\/td>\n<\/tr>\n<tr>\n<td>Metabolik alkaloz \u2014 akut<\/td>\n<td>\u2191<\/td>\n<td>Normal<\/td>\n<td>\u2191<\/td>\n<\/tr>\n<tr>\n<td>Metabolik alkaloz \u2014 kompanse<\/td>\n<td>Normal<\/td>\n<td>\u2191<\/td>\n<td>\u2191<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Dikkat: normal pH ile birlikte d\u00fc\u015f\u00fck PaCO\u2082 ve d\u00fc\u015f\u00fck HCO\u2083\u207b, hem kompanse metabolik asidoza hem de kompanse solunumsal alkaloz uyar; hesaplay\u0131c\u0131 her iki olas\u0131l\u0131\u011f\u0131 da bildirir ve ger\u00e7ek birincil bozuklu\u011fun hangisi oldu\u011funa hastan\u0131n \u00f6yk\u00fcs\u00fc karar verir.<\/p>\n<h2>S\u0131n\u0131rlamalar ve Pratik \u0130pu\u00e7lar\u0131<\/h2>\n<ul>\n<li><strong>Oksijenasyon de\u011ferlendirmesi yok.<\/strong> Hesaplay\u0131c\u0131 yaln\u0131zca pH, PaCO\u2082 ve HCO\u2083\u207b de\u011ferlerini kullan\u0131r; tam bir AKG raporunun temel par\u00e7alar\u0131 olan PaO\u2082 veya oksijen sat\u00fcrasyonu hakk\u0131nda hi\u00e7bir \u015fey s\u00f6ylemez.<\/li>\n<li><strong>Beklenen kompanzasyon form\u00fclleri yok.<\/strong> S\u0131n\u0131rda kalan veya kar\u0131\u015f\u0131k sonu\u00e7lar i\u00e7in beklenen kompanzasyonu kendiniz hesaplay\u0131n \u2014 metabolik asidoz i\u00e7in Winter form\u00fcl\u00fc: \\( \\mathrm{PaCO_2}^{\\text{beklenen}} = 1.5 \\times [\\mathrm{HCO_3^-}] + 8 \\pm 2 \\) \u2014 ve bu arac\u0131n hesaplamad\u0131\u011f\u0131 anyon a\u00e7\u0131\u011f\u0131n\u0131 da g\u00f6z \u00f6n\u00fcnde bulundurun.<\/li>\n<li><strong>\"Kar\u0131\u015f\u0131k Bozukluklar\" geni\u015f bir kategoridir.<\/strong> Bir\u00e7ok kombinasyonu kapsar; s\u0131k nedenler aras\u0131nda sepsis, kardiyak arest, solunum yetmezli\u011fiyle birle\u015fen b\u00f6brek yetmezli\u011fi ve di\u00fcretik kullanan hastada kusma say\u0131labilir.<\/li>\n<li><strong>Preanalitik hatalar \u00f6nemlidir.<\/strong> Enjekt\u00f6rdeki hava kabarc\u0131klar\u0131, geciken analiz, a\u015f\u0131r\u0131 heparin ya da istemeden ven\u00f6z al\u0131nm\u0131\u015f bir \u00f6rnek \u00fc\u00e7 de\u011feri de kayd\u0131rabilir ve yorumu de\u011fi\u015ftirebilir.<\/li>\n<li><strong>Yaln\u0131zca e\u011fitim arac\u0131d\u0131r.<\/strong> Bir AKG'yi her zaman \u00f6yk\u00fc, muayene ve di\u011fer laboratuvar sonu\u00e7lar\u0131yla birlikte yorumlay\u0131n; tedavi kararlar\u0131n\u0131 asla yaln\u0131zca hesaplay\u0131c\u0131 \u00e7\u0131kt\u0131s\u0131na dayand\u0131rmay\u0131n.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Arteriyel kan gaz\u0131 \u00f6rne\u011fine ait pH, PaCO\u2082 ve HCO\u2083\u207b de\u011ferlerini girin; asit\u2013baz bozuklu\u011fu s\u0131n\u0131fland\u0131r\u0131l\u0131r: solunumsal veya metabolik asidoz ya da alkaloz ve akut, k\u0131smen kompanse veya tam kompanse olup olmad\u0131\u011f\u0131.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[33],"class_list":["post-82","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/82","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=82"}],"version-history":[{"count":3,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/82\/revisions"}],"predecessor-version":[{"id":2879,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/82\/revisions\/2879"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=82"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=82"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=82"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}