Decision Modeler Report

Arterial pH Target Brigham Womens

Published: 4/14/2020

By: John Svirbely MD

Table of Contents

Arterial pH Target Brigham Womens

Overview

Arterial pH Target

Decision Requirement Diagram

Elements

Arterial pH Target Brigham Womens

Overview

The target for the arterial pH is to maintain a range from 7.30 to 7.45. Changes in the respiratory rate is often the first step to change the pH when needed.

Arterial pH Target

Decision Requirement Diagram

Elements

Interventions to raise the arterial pH (Knowledge Source)

Description

  1. Increase the tidal volume (until TV is 8 mL per kg or plateau pressure 30 cm H2O)
  2. Deep sedation
  3. Continuous paralysis
  4. Prone ventialtion

Achieving arterial pH target (Decision)

Decision Logic (Decision Table)

Achieving arterial pH target

F

Arterial pH

Respiratory rate

Achieving arterial pH target

Description

[5..7.4]
[0..200]
"Reduce respirations to reduce pH", "Lower respirations to below 35 breaths per minute", "Maintain current parameters", "Increase respirations to a maximum of 35 bpm", "Try one or more interventions to raise the pH"

1

>7.45

-

"Reduce respirations to reduce pH"

2

[7.30..7.45]

>35

"Lower respirations to below 35 breaths per minute"

3

[7.30..7.45]

<=35

"Maintain current parameters"

4

[7.15..7.30)

>35

"Lower respirations to below 35 breaths per minute"

5

[7.15..7.30)

35

"Maintain current parameters"

6

[7.15..7.30)

<35

"Increase respirations to a maximum of 35 bpm"

7

<7.15

>=35

"Try one or more interventions to raise the pH"

8

<7.15

<35

"Increase respirations to a maximum of 35 bpm"


Arterial pH (Input Data)

Semantic Link

Demographics Vitals Pulmonary - Arterial pH

Respiratory rate (Input Data)

Semantic Link

Demographics Vitals Pulmonary - Respiratory rate