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critical care specialist edward omron md critical care acid base status resuscitation standard base excess shock alkalosis acidosis cardinal rules of critical care septic shock intensive care unit intensive care medicine strong ion difference strong ion gap physicochemical analysis critical care medicine chronic obstructive lung disease albumin crystalloid mrsa pneumonia methemoglobin carboxyhemoglobin oxygen consumption hemodynamics oxygen delivery ventricular fibrillation cardiopulmonary arrest hypothermia acid base disorders in the icu shock resuscitation asthma emphysema copd venous blood gas base excess arterial blood gas sepsis base hydrogen ion concentration ph acid base tutorial sbe acid metabolic acidosis metabolic alkalosis resuscitation fluids