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diagnosis differential acidbase acidosis bloodgas disorders interpretation base metabolic respiratory algorithm causes evaluation gas hypertension icucard indications ketones ketosis management
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid ... Start with the Anion ... Do you need an ABG ... an ABG by adding ... Disorders #Evaluation #workup
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
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... - Contraction alkalosis ... Acidosis - non anion ... metabolic acidosis - anion ... nickmmark #acidbase #workup
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Interpretation and Acid-Base ... need to do more work ... = ANION GAP - ... AmyChung #AcidBase #ABG
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
accompanied by an anion ... consequence of fatty acid ... leading to marked anion ... blood glucose (BG ... diagnosis #management #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... hypertension and signs ... and metabolic alkalosis ... renal bruit or signs ... Vasculitis • Endocrinologic
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 ... deficiency 8 Arg ... [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
AG S 8-16 mEq ... - (Cl + НСО3) Anion ... H_def 0 mEq Acid ... 2)| Metabolic Alkalosis ... pCO2 Respiratory Alkalosis
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