Pharmacist role with blood gases

[DisneyDancin7]

How can pharmacists make an impact with interpreting blood gases? In other words, if you see a patient has a metabolic acidosis, what should we look out for with their medications or fluids? I'm just curious...thanks!

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[gwarm01]

Not going to lie, the only time I look at blood gases is when I'm doing NICU TPNs and I'm adjusting Na/K acetate.

 

[PolarPop]

If you have a good grasp of acid/base you can prevent a lot of unnecessary bicarb drips.

 

[Alby]

You could watch out for high volume NS fluid resuscitation which can lead to hyperchloremic metabolic acidosis worsening acidosis which can contribute to the whole "triangle of death", hypothermia, acidosis and coagulopathy.

 

[Newpharmacist]

The only blood gas I deal with is the one my obese tech passes out after he's back from lunch