12 results
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Respiratory Acidosis and Alkalosis ... Diagnostic Algorithm Anion ... Methanol (formic acid ... glycol (-> oxalic acid ... late) Normal anion
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... Start with the Anion ... Generally, for acid ... Diagnosis: • Anion ... @EmmGeezee #Acid
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 ... ABG #bloodgas #Acid
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... tubular acidosis Anion ... poisoning Normal acid-base ... indicated causes of anion ... and potassium acid
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... responsive metabolic alkalosis ... resistant metabolic alkalosis ... tubular acidosis • Anion ... poisoning • Normal acid-base
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
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
1
Consumption of organic anions
2
Demineralization
3
Lactate, dissociated fatty acids, etc.
Metabolism
Ht consumptiont
cos-
РО}-
HPOT
HCO3
Hyperventilation
CO, output with expiration†
6
Vomiting
Нуро-
kalemia
Нуро-
volemia
H
HCO;
4
ЗНСОз
Nat
5
Na
Proximal tubules
Hypopara-thyroidism
Aldosteronet
7
Liver failure
Urea
Distal nephron
NH4
Cys •-
Met
Consumption of organic anions ... dissociated fatty acids ... [HC03] >7.45 #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
- (Cl + НСО3) Anion ... H_def 0 mEq Acid ... 2)| Metabolic Alkalosis ... pCO2 Respiratory Alkalosis ... 24*PaCO2)/HCO3 Acid