12 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base Disorders ... and Differential Diagnosis ... delta/delta) to see ... 3) Now, look at ... #acidosis #alkalosis
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Vomiting D - Diarrhea ... acidbase #workup #algorithm ... #diagnosis #acidosis ... #alkalosis #metabolic ... respiratory #bloodgas #interpretation
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... of sodium and potassium ... Chloride #urine #Algorithm ... #differential #diagnosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential Diagnosis ... Algorithm - Urinary ... - Normal/low ... : Chronic diarrhea ... #Algorithm #causes
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... - Differential Diagnosis ... : - Diarrhea ... #AcidBase #disorders ... #Diagnosis #Summary
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... • Metabolic acidosis ... Gl tract loss (Diarrhea ... #potassium #low
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
- Differential Diagnosis ... Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #low #potassium
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Differential Diagnosis ... NG drainage - Diarrhea ... Renal tubular acidosis ... Catecholamines - Alkalosis ... #Low #Potassium
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Laxative use • Diarrhea ... - Metabolic Alkalosis ... - Metabolic acidosis ... #Hypokalemia #diagnosis ... #low
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... altered 2) You see ... , Respiratory Alkalosis ... High Lactate, Low ... Potassium, Low