9 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... diarrhea), Sweat ... acidosis: Chronic ... diarrhea, Kidney ... poisoning • Normal acid-base
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Algorithm Cl- ... acidosis • Chronic ... #Metabolic #Alkalosis ... #urine #Algorithm
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... pH < 7.35) • Metabolic ... pH > 7.45) • Metabolic ... Alkalosis (HCO3 ... < 35 mmHg) #AcidBase
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 ... MD @nickmmark #acidbase ... #workup #algorithm
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... Base Disorders ... delta/delta) to see ... chronicity (acute, chronic ... , or acute on chronic
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... acidosis: - Diarrhea ... MDaniyalHashmi1 #AcidBase ... #disorders #Interpretation ... ABG #bloodgas #Acid
Acid-Base Disorders - Expected Compensation Equations

Metabolic Acidosis:
 • pCO2 = 1.5 x HCO3 + 8 ±
Acid-Base Disorders ... HCO3 ↑ 1 • Chronic ... HCO3 ↓ 2 • Chronic ... ∆ HCO3 ↓ 4 #Acid ... #Base #AcidBase
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... alkalosis - Fistulas ... NGT suction - Diarrhea ... • Fatigue Chloride ... secretion • Acid-base
#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 ... Alkalosis ТНСО3 ... 10 T in pCO2 chronic ... 10 - in pCO2 chronic ... -2min Calcium chloride