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Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)

Start with the Anion ... Do you need an ABG ... approximates an ABG ... Diagnosis: • Anion ... Ingestion • Non-Anion

Arterial Blood Gas (ABG) Interpretation
• AG/non-AG Metabolic Acidosis
• AG Acidosis "Delta/Delta"
• Metabolic Alkalosis

Arterial Blood Gas (ABG ... Acidosis • AG ... • Metabolic Alkalosis ... Arterial #BloodGas #ABG ... #alkalosis

Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation:
1. Acidemia or Alkalemia?
2.

Anion gap? ... ABG And BMP Normal ... ↑ ↑ Metabolic alkalosis ... ↑ ↓ Resp Alkalosis ... of Respiratory alkalosis

Blood Gas Analysis and Interpretation
STEPS TO ANALYSIS
1. Look at PH. Alkalotic or acidotic?

Alkalotic or acidotic ... - If alkalotic, ... or acidotic? ... #BloodGas #ABG # ... VBG #Analysis #Interpretation

Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -

Arterial Blood Gas (ABG ... + Respiratory Acidosis ... + Alkalosis ... Arterial #BloodGas #ABG ... #alkalosis

Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES:
- Methanol (formic

and Respiratory Acidosis ... and Alkalosis - ... Diagnostic Algorithm Anion ... late) Normal anion ... #Alkalosis #Respiratory

Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the

production Respiratory alkalosis ... - Contraction alkalosis ... - non anion gap ... - anion gap metabolic ... #alkalosis #metabolic

Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?

Blood Gas (ABG) ... or an alkalosis ... do more work = ANION ... AmyChung #AcidBase #ABG ... #Alkalosis #Diagnosis

Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
• Kidney loss of Cl-

Metabolic Alkalosis ... responsive metabolic alkalosis ... Anion gap metabolic ... indicated causes of anion ... #Metabolic #Alkalosis

Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
• Cl- responsive metabolic alkalosis

gap metabolic acidosis ... Kidney tubular acidosis ... • Anion gap metabolic ... acidosis: Diabetic ... ketoacidosis, D-lactic acidosis

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