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diagnosis differential metabolic acid acidbase acidosis algorithm bloodgas disorders interpretation nephrology abg causes chloride respiratory urinary workup anticoagulation citrate classification
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid Base ... Start with the Anion ... than expected based ... Diagnosis: • Anion ... Ingestion • Non-Anion
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... production Respiratory alkalosis ... - Contraction alkalosis ... Acidosis - non anion ... metabolic acidosis - anion
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Anion gap? ... ↑ ↑ Metabolic alkalosis ... Acidosis ↑ ↓ Resp Alkalosis ... bloodgas #Acid #Base
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... responsive metabolic alkalosis ... resistant metabolic alkalosis ... tubular acidosis • Anion ... • Normal acid-base
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... responsive metabolic alkalosis ... tubular acidosis Anion ... poisoning Normal acid-base ... indicated causes of anion
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... has a primary alkalosis ... >40 patient's alkalosis ... a significant anion ... joshsteinbergMD #Acid #Base
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... acidosis or an alkalosis ... concomitant respiratory alkalosis ... do more work = ANION ... Metabolic #Acidosis #Alkalosis
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
polyuria in the case ... hypernatremia, metabolic alkalosis ... Hypercortisolism #Diagnosis #signs
Citrate Anticoagulation Toxicity Hypernatremia (HyperNa): - Citrate solutions may have ↑ sodium content and should be paired
HypoMg): - Citrate binds ... convert to mmol/L Anion-Gap ... , "unmeasured" anion ... metabolism Metabolic alkalosis
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
Osmolar Gap ACID-BASE ... - (Cl + НСО3) Anion ... 2)| Metabolic Alkalosis ... pCO2 Respiratory Alkalosis ... PaCO2)/HCO3 Acid base
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