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differential algorithm nephrology acidbase disorders acid bloodgas interpretation potassium abg chloride management symptoms toxicity toxicology treatment urinary workup abnormal abnormalities
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
3) Now, look at ... Metabolic Acidosis ... Gap Metabolic Acidosis ... retention • Respiratory ... #acidosis #alkalosis
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Respiratory Acidosis ... anion gap metabolic ... acidosis - anion ... #acidosis #alkalosis ... #metabolic #respiratory
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Respiratory or Metabolic ... Metabolic alkalosis ... Anion Gap Metabolic ... of Metabolic Alkalosis
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... • Normal Acid-Base ... Metabolic acidosis ... Non-reabsorbable anions ... #Algorithm #causes
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Acidosis (HCO3 ... Acidosis (pCO2 ... Alkalosis (HCO3 ... #Algorithm #Causes
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... - Normal/low blood ... • Anion gap metabolic ... • Normal acid-base ... #causes #urinary
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... /low blood pressure ... Anion gap metabolic ... the indicated causes ... of anion gap metabolic
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... or an alkalosis ... do more work = ANION ... #Metabolic #Acidosis ... #Alkalosis #Diagnosis
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
cause 3) Labs ... show anion-gap metabolic ... Metabolic Acidosis ... , Respiratory Alkalosis ... Potassium, Low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
consumption • Low ... Alkalosis: Emesis ... Non-reabsorbable anions ... acidosis: Proximal ... #diagnosis #Algorithm
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