8 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... - Urinary Chloride ... diarrhea), Sweat ... #causes #urinary
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... - Urinary Chloride ... Algorithm Cl- ... #Metabolic #Alkalosis ... #Urinary #Chloride
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
pH - What’s the primary ... Alkalosis - “BLVD ... Vomiting D - Diarrhea ... - Contraction alkalosis ... acidbase #workup #algorithm
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Approach to Elevated ... Alkalosis Urine ... Mineralocorticoid • Primary ... #metabolic #alkalosis ... #algorithm #diagnosis
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... diarrhea (congenital ... > 20 meq/L • Primary ... thiazide-sensitive site) Metabolic ... after fasting #Metabolic
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... alkalosis - Fistulas ... NGT suction - Diarrhea ... • Fatigue Chloride ... alkalosis #Hypochloremia
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Periodic paralysis Alkalosis ... Metabolic alkalosis ... Primary hyperaldo
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... mEq/g suggests urinary ... Pressure: - Metabolic ... Alkalosis: Emesis