Download i-STAT 1 Acid-Base Analysis

887-0201 Rev. C i-STAT Acid-BAse Analysis Sales Aid_F.pdf
1
10/21/13
10:48 AM
®
i-STAT 1 Guide
Common Disease States Where Acid-Base Analysis Is Beneficial
DIARRHEA
RENAL FAILURE
• Loss of sodium
bicarbonate
(Na+HCO3-)
• Electrolyte
abnormalities
• Potential loss of
free body water
• Loss of sodium bicarbonate
(Na+HCO3-)
• Hydrogen (H+) retention
• Electrolyte abnormalities
• BUN and Creatinine (plus others)
buildup and act as toxins
• Lactate elevation with anemia
DIABETIC
KETOACIDOSIS
VOMITING OR
UPPER GI OBSTRUCTION
(COMPLICATED DIABETES MELLITUS)
• Ketoacids
• Electrolyte abnormalities
• Elevated anion gap
• Loss of H+Cl- (hydrochloric acid)
• Loss of K+ (usually K+Cl-)
• Electrolyte abnormalities
• Potential loss of free body water
• Lactate elevation with gastric torsion
(GDV)
C
M
Y
CM
EXPECTED ACID-BASE ABNORMALITIES pH < 7.35
EXPECTED ACID-BASE
ABNORMALITIES pH > 7.45
(DEPENDING ON SPECIES)
(DEPENDING ON SPECIES)
• Most common presentation in veterinary patients – metabolic acidosis
• Metabolic alkalosis
MY
CY
CMY
K
CARTRIDGE CHOICES
CARTRIDGE CHOICES
CG4+: Acid-base, lactate
CG8+: Acid-base, HCT, electrolytes, acidosis often elevates iCa+
EC8+: Acid-base, HCT, electrolytes, best if high Anion Gap expected
CG4+: Acid-base, lactate
especially helpful with emergency
or GDV
CG8+: Acid-base, HCT, electrolytes,
alkalosis can affect iCa+
EC8+: Acid-base, HCT, electrolytes
(especially Cl-)
FLUID THERAPY – COMMONLY USED
• Normosol, Ringer’s and Lactated Ringer’s often best to correct acidosis
° Fluids without lactate indicated for elevated lactate levels or hepatic disease
• Severe acidosis (i.e. pH < 7.25) consider bicarbonate therapy
FLUID THERAPY
– COMMONLY USED
• Saline (Na+Cl-): 0.45% vs. 0.9%
based on hydration status and
electrolyte levels
• K+Cl- supplementation common
for vomiting patients (due to loss
of K+)
° Low K+ dictates addition to fluids
BETTER + BETTER
887-0201 Rev. C i-STAT Acid-Base Analysis Sales Aid_B.pdf
1
10/21/13
10:48 AM
i-STAT 1 Pricing System A tiered pricing system is an effective tool for
compliance, which leads to better medicine and increased ancillary diagnostics, additional
treatments and medications.
CARTRIDGE CHOICES FOR ACID-BASE ANALYSIS
CG4+
CG8+
EC8+
$15.20
$15.85
$16.00
pH
pH
pH
PCO2
PCO2
PCO2
HCO3
HCO3
HCO3
TCO2
TCO2
TCO2
base excess
base excess
base excess
PO2
PO2
anion gap
sO2
sO2
Hct
lactate
Hct
Hgb
Hgb
Glu
Glu
BUN
iCa
Na, K
Na, K
Cl
C
M
Y
CM
MY
CY
CMY
K
TEST - CG4+ EXAMPLE
PRICE
PROFIT
With Diagnostic Panel – Routine Illness
$30.00
$14.80
In-hospital monitoring
$35.00
$19.80
Re-check without panel
$40.00
$24.80
Critical Patient
$50.00
$34.80
800.822.2947
www.abaxis.com/veterinary
[email protected]
Abaxis, Inc.
Worldwide Headquarters
3240 Whipple Road
Union City, CA 94587
Tel 800 822 2947
Fax 510 441 6150
BETTER + BETTER.
Abaxis and VetScan are registered trademarks of Abaxis, Inc. i-STAT is a registered trademark of the Abbott Group of Companies in various jurisdictions. © Abaxis 2013
887-0201 Rev. C
www.abaxis.com