11 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... /low blood pressure ... urine chloride ... urine chloride ... #urine #Algorithm
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... diarrhea), Sweat ... - Normal/low blood ... diarrhea, Kidney
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... volume contracted: urine ... diarrhea (congenital ... chronic respiratory acidosis ... volume expanded: urine
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... alkalosis - Fistulas ... NGT suction - Diarrhea ... acidosis - Cl
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap Acidosis ... Chloride Intoxication ... • Serum K: low ... Loss of HCO3 - Diarrhea ... #Metabolic #NAGMA
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... Laxative use • Diarrhea ... Alkalosis: Emesis ... acidosis: Proximal
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
altered 2) You see ... show anion-gap metabolic ... acidosis 4) Presentation ... Alkalosis, High ... Resuscitation 2) Urine
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal ... or low blood pressure ... (spot urine, calcium-creatinine ... Renal tubular acidosis ... diarrhea Potential
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm
Normal Anion Gap (<14) (Loss of Bicarbonate) -
Causes of Non-Gap Metabolic ... Acidosis - Differential ... Loss (Negative urine ... net charge) • Diarrhea ... Cell Problem - Low
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
possible fresh gas flow ... Hyperkalaemia: calcium chloride ... amiodarone/metoprolol Metabolic ... acidosis: hyperventilate ... Hyperthermia #Crisis #Anesthesiology