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differential algorithm nephrology acidbase interpretation low acid causes chloride disorders respiratory workup classification evaluation gas hypochloremia icucard pathophysiology summary urinary
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
and Differential Diagnosis ... Start with the Anion ... Metabolic Acidosis ... Gap Metabolic Acidosis ... #acidosis #alkalosis
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Metabolic alkalosis ... Metabolic alkalosis ... #bloodgas #Acid ... #Base #Gas #VBG
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... anion gap metabolic ... acidosis - anion ... gap metabolic acidosis ... #acidosis #alkalosis
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... do more work = ANION ... Interpretation #BloodGas ... #Acidosis #Alkalosis ... #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... • Normal Acid-Base ... Non-reabsorbable anions ... Algorithm #causes #potassium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... Anion gap metabolic ... poisoning Normal acid-base ... of sodium and potassium ... #differential #diagnosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... Alkalosis: Emesis ... Non-reabsorbable anions ... acidosis: Proximal ... #diagnosis #Algorithm
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Differential Diagnosis ... alkalosis - Fistulas ... - Gitelman SIGNS ... extracellular anion ... acidosis - Cl
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
Acid-base ... Metabolic alkalosis ... nonreabsorbed anions ... #Differential #Diagnosis ... #Low #Potassium
#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
Trans Tubular Potassium ... Osmolar Gap ACID-BASE ... - (Cl + НСО3) Anion ... Acidosis ІнСО3 ... Alkalosis ТНСО3
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