Development of a Software to Determine Disturbances in the Acid-Base Balance in Human Blood.

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Title: Development of a Software to Determine Disturbances in the Acid-Base Balance in Human Blood.
Authors: Reyes-Lazalde, A.1 arturoreyeslazalde@yahoo.com.mx, Reyes-Monreal, M.2, Pérez-Bonilla, M. E.1, Reyes-Luna, R.1
Source: Revista Mexicana de Ingeniería Biomédica. ago2013, Vol. 34 Issue 2, p175-191. 17p. 6 Color Photographs, 1 Diagram, 2 Charts.
Subjects: COMPUTER software development, ACID-base imbalances, HYDROGEN-ion concentration, INTENSIVE care units, BLOOD testing, MEDICAL education
Abstract (English): In intensive care units, one of the most frequent emergencies occurring in patients in critical condition is acid-base imbalance. The ability to proficiently manage such patients is achieved through many years of hospital practice. The correct quantification of such imbalances allows for the detection of complex alterations. Although this area is fundamental for the clinical management of many patients, nonspecialist doctors rarely receive the appropriate training. In addition, the learning required to master this area is difficult for doctors due to the level of mathematics involved. There are two online support programs available on the internet for determining blood pH based on the Stewart Model, along with a spreadsheet for the patient's collected data. Generally, the calculation of hydrogen ion concentration [H+] uses a table of equivalences between pH y [H+] for discontinuous values of pH, with the Davenport diagram used manually. However, none of these programs unite the methods of classic calculus, chemistry and physicochemistry. This study develops software for the teaching and calculation of acid-base imbalance that combines all the relevant methods, such as the Henderson-Hasselbalch equation, the Siggard- Anderson modified excess base equation, the anion gap calculation, the computational implementation of the Davenport diagram, the calculus of [H+] for any value of pH, the calculus for the compensatory process, and the Stewart Model. The combined use of these methods is complementary, synergic and permits a preliminary diagnosis that interprets and understands both respiratory alterations and miniscule metabolic or mixed alterations. With this software, a doctor can identify acid-base imbalances and the occurrence of compensatory processes, such as the concentration of acid or base, in order to restore pH, while many simulations of clinical cases can be carried out in the classroom for medical training purposes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): En las unidades de cuidados intensivos, una de las emergencias más frecuentes de los pacientes en estado crítico es el trastorno del equilibrio ácido-base sanguíneo. El manejo adecuado de estos pacientes se alcanza en la práctica hospitalaria después de varios años. La cuantificación correcta de estos desequilibrios permite detectar alteraciones complejas. No obstante que el tema es fundamental para el manejo clínico de muchos pacientes, los médicos no especializados pocas veces cuentan con este tipo de entrenamiento. Por otro lado, el aprendizaje del tema resulta difícil para los médicos debido a las matemáticas que están involucradas. En Internet existen dos programas online de apoyo para determinar el pH sanguíneo basados en el modelo de Stewart y una hoja de cálculo para el concentrado de datos del paciente. Generalmente, para el cálculo de hidrogeniones [H+] se utiliza una tabla de correspondencia entre el pH y [H+] para valores de pH discontinuos y el diagrama de Davenport es utilizado de manera manual. Sin embargo, ninguno de estos programas reúne los métodos de cálculo clásico, químico y fisicoquímico. En este trabajo se desarrolló un software para la enseñanza y el cálculo de las alteraciones ácido-base que conjunta todos los métodos como la ecuación de Henderson-Hasselbalch, la ecuación modificada de exceso de base de Siggard-Andersen, el cálculo de la brecha aniónica, la implementación en la computadora del diagrama de Davenport, el cálculo de [H+] para cualquier valor de pH, el cálculo de los procesos de compensación y el modelo de Steward. El uso conjunto de estos métodos es complementario, sinérgico y permite un diagnóstico preliminar que comprende alteraciones respiratorias y de manera minuciosa alteraciones metabólicas o mixtas, Con este software, el médico puede determinar desordenes del equilibrio ácido-base, la existencia de procesos compensatorios así como la concentración de ácido o de base para restaurar el pH y en el módulo de enseñanza se pueden realizar numerosas simulaciones de casos clínicos para el entrenamiento médico. [ABSTRACT FROM AUTHOR]
Copyright of Revista Mexicana de Ingeniería Biomédica is the property of Sociedad Mexicana de Ingenieria Biomedica, A.C. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Development of a Software to Determine Disturbances in the Acid-Base Balance in Human Blood.
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  Data: <searchLink fieldCode="AR" term="%22Reyes-Lazalde%2C+A%2E%22">Reyes-Lazalde, A.</searchLink><relatesTo>1</relatesTo><i> arturoreyeslazalde@yahoo.com.mx</i><br /><searchLink fieldCode="AR" term="%22Reyes-Monreal%2C+M%2E%22">Reyes-Monreal, M.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Pérez-Bonilla%2C+M%2E+E%2E%22">Pérez-Bonilla, M. E.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Reyes-Luna%2C+R%2E%22">Reyes-Luna, R.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Mexicana+de+Ingeniería+Biomédica%22">Revista Mexicana de Ingeniería Biomédica</searchLink>. ago2013, Vol. 34 Issue 2, p175-191. 17p. 6 Color Photographs, 1 Diagram, 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22COMPUTER+software+development%22">COMPUTER software development</searchLink><br /><searchLink fieldCode="DE" term="%22ACID-base+imbalances%22">ACID-base imbalances</searchLink><br /><searchLink fieldCode="DE" term="%22HYDROGEN-ion+concentration%22">HYDROGEN-ion concentration</searchLink><br /><searchLink fieldCode="DE" term="%22INTENSIVE+care+units%22">INTENSIVE care units</searchLink><br /><searchLink fieldCode="DE" term="%22BLOOD+testing%22">BLOOD testing</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+education%22">MEDICAL education</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: In intensive care units, one of the most frequent emergencies occurring in patients in critical condition is acid-base imbalance. The ability to proficiently manage such patients is achieved through many years of hospital practice. The correct quantification of such imbalances allows for the detection of complex alterations. Although this area is fundamental for the clinical management of many patients, nonspecialist doctors rarely receive the appropriate training. In addition, the learning required to master this area is difficult for doctors due to the level of mathematics involved. There are two online support programs available on the internet for determining blood pH based on the Stewart Model, along with a spreadsheet for the patient's collected data. Generally, the calculation of hydrogen ion concentration [H+] uses a table of equivalences between pH y [H+] for discontinuous values of pH, with the Davenport diagram used manually. However, none of these programs unite the methods of classic calculus, chemistry and physicochemistry. This study develops software for the teaching and calculation of acid-base imbalance that combines all the relevant methods, such as the Henderson-Hasselbalch equation, the Siggard- Anderson modified excess base equation, the anion gap calculation, the computational implementation of the Davenport diagram, the calculus of [H+] for any value of pH, the calculus for the compensatory process, and the Stewart Model. The combined use of these methods is complementary, synergic and permits a preliminary diagnosis that interprets and understands both respiratory alterations and miniscule metabolic or mixed alterations. With this software, a doctor can identify acid-base imbalances and the occurrence of compensatory processes, such as the concentration of acid or base, in order to restore pH, while many simulations of clinical cases can be carried out in the classroom for medical training purposes. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: En las unidades de cuidados intensivos, una de las emergencias más frecuentes de los pacientes en estado crítico es el trastorno del equilibrio ácido-base sanguíneo. El manejo adecuado de estos pacientes se alcanza en la práctica hospitalaria después de varios años. La cuantificación correcta de estos desequilibrios permite detectar alteraciones complejas. No obstante que el tema es fundamental para el manejo clínico de muchos pacientes, los médicos no especializados pocas veces cuentan con este tipo de entrenamiento. Por otro lado, el aprendizaje del tema resulta difícil para los médicos debido a las matemáticas que están involucradas. En Internet existen dos programas online de apoyo para determinar el pH sanguíneo basados en el modelo de Stewart y una hoja de cálculo para el concentrado de datos del paciente. Generalmente, para el cálculo de hidrogeniones [H+] se utiliza una tabla de correspondencia entre el pH y [H+] para valores de pH discontinuos y el diagrama de Davenport es utilizado de manera manual. Sin embargo, ninguno de estos programas reúne los métodos de cálculo clásico, químico y fisicoquímico. En este trabajo se desarrolló un software para la enseñanza y el cálculo de las alteraciones ácido-base que conjunta todos los métodos como la ecuación de Henderson-Hasselbalch, la ecuación modificada de exceso de base de Siggard-Andersen, el cálculo de la brecha aniónica, la implementación en la computadora del diagrama de Davenport, el cálculo de [H+] para cualquier valor de pH, el cálculo de los procesos de compensación y el modelo de Steward. El uso conjunto de estos métodos es complementario, sinérgico y permite un diagnóstico preliminar que comprende alteraciones respiratorias y de manera minuciosa alteraciones metabólicas o mixtas, Con este software, el médico puede determinar desordenes del equilibrio ácido-base, la existencia de procesos compensatorios así como la concentración de ácido o de base para restaurar el pH y en el módulo de enseñanza se pueden realizar numerosas simulaciones de casos clínicos para el entrenamiento médico. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista Mexicana de Ingeniería Biomédica is the property of Sociedad Mexicana de Ingenieria Biomedica, A.C. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – SubjectFull: ACID-base imbalances
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      – SubjectFull: HYDROGEN-ion concentration
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