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["lagre"]
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{"sheet":"Ark1 (3)","index":1,"n_rows":33,"n_cols":8,"rows_kept":33,"cut":false,"hidden":false,"merged":[]}
[]
[null,"FlowCalc -- Sirkulasjonskalkulator ved forhøyet S-Lactat (arteriell)"]
[]
[null," PaCO2",null," kPa"]
[null," PcvCO2",null," kPa"]
[null,null,null,null,"Art.S-Lactat-utvikling første 6 t :"]
[null," SaO2",null," %          ","S-Lactat start",null,null,"mmol/l"]
[null," ScvO2",null," %          ","S-Lactat 6 timer",null,null,"mmol/l"]
[null," Hb",null," g/l",null,"Lactat Clearence",{"$f":"IF(OR(G7=0,G8=0),\" \",D10)","v":" "},"% pr. 6 t"]
[null,null,null,{"$f":"(G7-G8)/G7*100","v":{"$error":"#DIV/0!"}},"Verdi > 30-50 % → lavere mortalitet"]
[null," Pcv-aCO2 diff.",{"$f":"IF(OR(C5=0,C4=0),\" \",C5-C4)","v":" "},"kPa                     =",null,{"$f":"IF(C11=\" \",\" \",C11*7.5)","v":" "},"mmHg"]
[null,null,"≥ 0,8","kPa  +  ScvO2 < 70 % (O2ER > 25-30 %): For lav CI ?"]
[null,null,null,"         +  ScvO2 > 70 %: Microsirkulasjonssikt ?"]
[null,null,"Tiltak:","Væskeresponsiv? Dobutamin? Redusere Noradr? "]
[]
[null," CI",null," l/minm2   >> ",{"$f":"IF(C16>4.5,\"Høy CI kan gi falsk lav Pcv-aCO2\",\"  \")","v":"  "}]
[null," CaO2  (art. O2 innhold)",{"$f":"IF(OR(C9=0,C7=0),\" \",(1.34*C9*C7/100))","v":" "}," ml O2/100 ml"]
[null," DO2I  (O2 tilbud)",{"$f":"IF(OR(C16=0,C7=0,C9=0),\" \",(10*C16*C17))","v":" "}," ml O2/minm2",null,"Ref.: 400-600"]
[null," CvO2   (ven. O2 innhold)",{"$f":"IF(OR(C9=0,C8=0),\" \",(1.34*C9*C8/100))","v":" "}," ml O2/100 ml"]
[null," Ca-vO2  diff",{"$f":"IF(OR(C9=0,C8=0,C7=0),\" \",C17-C19)","v":" "}," ml O2/100 ml"]
[null," VO2I  (O2 forbruk)",{"$f":"IF(OR(C16=0,C8=0,C20=\" \"),\" \",10*C16*C20)","v":" "}," ml O2/minm2",null,"Ref.: 120-150"]
[null," O2ER (O2 extraksjon)",{"$f":"IF(OR(C7=0,C8=0),\" \",B23)","v":" "}," %      > 25-30 %  =  ",null,"Lav CI: Væske? Dobutamin?"]
[null,{"$f":"(C7-C8)/C7*100","v":{"$error":"#DIV/0!"}},null,"          < 15-20 %  = ",null,"Shunting: Øk CI/DO2 dersom "]
[null,null,null,null,null,"også Pcv-aCO2/Ca-vO2 ↑"]
[null," Pcv-aCO2/Ca-vO2",{"$f":"IF(OR(C7=0,C8=0,C20=\" \"),\" \",B26)","v":" "},"kPa/ml              =",null,{"$f":"IF(C25=\" \",\" \",C25*7.5)","v":" "},"mmHg/ml"]
[null,{"$f":"IF(C11=\" \",\" \",C11/C20)","v":" "},">  0,24","kPa/ml = Global anaerob metabolisme ?"]
[null,null,{"$f":"IF(OR(C4>6.9,C8>80,C4<4,C8<63),\"   Obs! Noe usikker når ScvO2, PaCO2, pH IKKE er nær normale\",\"  \")","v":"   Obs! Noe usikker når ScvO2, PaCO2, pH IKKE er nær normale"}]
[null,null,"Tiltak:","Øke DO2 : CI (Væske? Dobutamin?), Evt Hb, SaO2"]
[null,"© Vidar Skogstrøm, Sørlandet sykehus Arendal",null,null,null,null,"Versjon:","2019-10-17"]
[null,"REFERANSER:",null,null,null,null,null,"1234visk"]
[null,"1. Scheeren TWL et al.Understanding the carbon dioxide gaps. Curr Opin Crit Care 2018 vol. 24 (3) pp. 181-189 doi:10.1097/MCC.0000000000000493 "]
[null,"2. Teboul JL et al.Understanding the Haldane effect. Intensive Care Med 2017 vol. 43 (1) pp. 91-93 doi:10.1007/s00134-016-4261-3 "]
[null,"3. Gao X et al. Pcv-aCO2/Ca-cvO2 Combined With Arterial Lactate Clearance Rate as Early Resuscitation Goals in Septic Shock. Am J Med Sci 2019 May 06 Epub ahead of print"]

{"sheet":"OLD","index":2,"n_rows":30,"n_cols":6,"rows_kept":30,"cut":false,"hidden":false,"merged":[]}
[]
[null,"FlowCalc  --   Sirkulasjonskalkulator ved forhøyet S-lactat"]
[]
[null," PaCO2",null," kPa"]
[null," PcvCO2",null," kPa"]
[]
[null," SaO2",null," %"]
[null," ScvO2",null," %"]
[null," Hb",null," g/l"]
[]
[null," Pcv-aCO2 diff.",{"$f":"IF(OR(C5=0,C4=0),\" \",C5-C4)","v":" "},"kPa                      =",{"$f":"IF(C11=\" \",\" \",C11*7.5)","v":" "},"mmHg"]
[null,null,"> 0,8","kPa = Microsirkulasjonssikt ?  For lav CI ?"]
[null,null,null,"Væskeresponsiv? Inodilator? Red. noradr? "]
[]
[null," CI",null," l/minm2      Høy CI kan gi \"falsk\" lav Pcv-aCO2"]
[null," CaO2  (art. O2 innhold)",{"$f":"IF(OR(C9=0,C7=0),\" \",(1.34*C9*C7/100))","v":" "}," ml O2/100 ml"]
[null," DO2I  (O2 tilbud)",{"$f":"IF(OR(C15=0,C7=0,C9=0),\" \",(10*C15*C16))","v":" "}," ml O2/minm2","Ref.: 400-600"]
[null," CvO2   (ven. O2 innhold)",{"$f":"IF(OR(C9=0,C8=0),\" \",(1.34*C9*C8/100))","v":" "}," ml O2/100 ml"]
[null," Ca-vO2  diff",{"$f":"IF(OR(C9=0,C8=0,C7=0),\" \",C16-C18)","v":" "}," ml O2/100 ml"]
[null," VO2I  (O2 forbruk)",{"$f":"IF(OR(C15=0,C8=0,C19=\" \"),\" \",10*C15*C19)","v":" "}," ml O2/minm2","Ref.: 120-150"]
[null," O2ER (O2 extraksjon)",{"$f":"IF(OR(C7=0,C8=0),\" \",B22)","v":" "}," %      > 25-30 %   =  For lav CI ?"]
[null,{"$f":"(C7-C8)/C7*100","v":{"$error":"#DIV/0!"}},null,"          < 15-20 %   =  Shunting ?"]
[null," Pcv-aCO2/Ca-vO2",{"$f":"IF(OR(C7=0,C8=0,C19=\" \"),\" \",B24)","v":" "},"kPa/ml               =",{"$f":"IF(C23=\" \",\" \",C23*7.5)","v":" "},"mmHg/ml"]
[null,{"$f":"IF(C11=\" \",\" \",C11/C19)","v":" "},"            Usikker når ScvO2, PCO2 og pH IKKE er nær normale"]
[null,null,">  0,20","kPa/ml = Global anaerob metabolisme ?"]
[null,null,null,"Forsøk å øke DO2I = Øke CI. Evt Hb, SaO2"]
[null,"© Vidar Skogstrøm, Sørlandet sykehus Arendal"]
[null,"REFERANSER:",null,null,null,"1234visk"]
[null,"1. Scheeren TWL et al.Understanding the carbon dioxide gaps. Curr Opin Crit Care 2018 vol. 24 (3) pp. 181-189 doi:10.1097/MCC.0000000000000493 "]
[null,"2. Teboul JL et al.Understanding the Haldane effect. Intensive Care Med 2017 vol. 43 (1) pp. 91-93 doi:10.1007/s00134-016-4261-3 "]