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diagnosis differential nephrology acidosis pathophysiology urinary acidbase base bloodgas bulimianervosa causes complications disorders evaluation gitelman hypokalemia icucard interpretation management nagma
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... diarrhea), Sweat ... - Normal/low blood ... poisoning • Normal acid-base
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Hypochloremia - ... Decreased Intake: • Low ... alkalosis - Fistulas ... NGT suction - Diarrhea ... alkalosis #Hypochloremia
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... Algorithm Cl- ... /low blood pressure ... #Metabolic #Alkalosis ... #urine #Algorithm
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... Alkalosis - “BLVD ... Vomiting D - Diarrhea ... nickmmark #acidbase #workup ... #algorithm #diagnosis
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid ... delta/delta) to see ... 3) Now, look at ... Generally, for acid ... Disorders #Evaluation #workup
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Framework and Workup ... or decreased in hyperchloremia ... Chloride Intoxication ... Loss of HCO3 - Diarrhea ... NonAnionGap #Acidosis #Metabolic
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 ... Hypomagnesemia • Hypochloremic ... metabolic alkalosis ... diarrhea Potential
Bulimia Nervosa: Complications GASTROINTESTINAL • Dehydration & inability to digest food -> Constipation • Recurrent vomiting exposes
hormonal imbalances (low ... alkalosis (loss ... abuse may lead to metabolic ... loss of HCO3- in diarrhea ... : hypokalemia, hypochloremia
#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
(HCO3d-HCO3m) Metabolic ... HCO3)+8 (+-2)| Metabolic ... Alkalosis ТНСО3 ... pCO2 Respiratory Alkalosis ... -2min Calcium chloride
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