24 results
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
: Sepsis, Ischemic ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... Short bowel (D-lactate ... TypeB #diagnosis #differential
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Elevation, Lactic Acidosis ... - Differential ... /hypoxemia/Sepsis ... syndrome - Sepsis ... #Elevation #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... malperfusion - Lactate ... Distributive: Sepsis ... #Differential # ... algorithm #treatment #management
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... - Differential Diagnosis ... Cardiogenic & Septic Shock ... Malaria, Late Sepsis ... #Differential #
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Classification and Differential ... hypoperfusion, Shock ... Fructose, Isoniazid, Lactate-based ... Classification #Differential ... #TypeA #TypeB #lactate
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
anion-gap metabolic acidosis ... seems like DKA, sepsis ... Pulmonary edema, Shock ... Anion-Gap Metabolic Acidosis ... Alkalosis, High Lactate
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... malperfusion • Lactate ... / Low SVR • Sepsis ... Classification #Differential
Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
	• DKA
		- With normal glucose, ask if
Metabolic Acidosis ... paraldehyde L - Lactate ... hypoxia (e.g. shock ... that results in lactate ... #diagnosis #differential
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
>10% bands Sepsis ... Septic Shock • ... o Lactate >2 mmol ... /L Management ... #sirs #shock #lactate
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
30ml.kg-1 or blood lactate ... cause) or septic shock ... Check serial lactates ... Discuss ongoing management ... Checklist #Diagnosis #Management