18 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
the Anion Gap (AG ... the change in AG ... Do you need an ABG ... approximates an ABG ... Disorders #Evaluation #workup
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... : Anion Gap (AG ... Pure Normal AG ... D-lactate (short bowel syndrome ... Summary #Nephrology #ABG
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap Acidosis ... Framework and Workup ... NAGMA - Chem, ABG ... Anion Gap - UAG ... Differential #Diagnosis #Workup
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Insulin Autoimmune Syndrome ... glucose q6 hrs until BG ... Continue until BG ... In insulinoma, BG ... Insulin Autoimmune Syndrome
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... normalize the ABG ... than monitoring ABG ... failure), not the ABG ... #Management #CriticalCare
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
differential - ABG ... /VBG only if hypercapneic ... tox/infectious workup ... Delirium #Evaluation #Workup ... #MICU #CriticalCare
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... patient have an acidosis ... is a metabolic acidosis ... need to do more work ... AmyChung #AcidBase #ABG
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... poor air flow • ABG ... Abnormally normal ABG ... with increased work ... #Exacerbation #CriticalCare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... BNP, Troponin), ABG ... Hypoxemia #Hypoxia #Workup ... Management #treatment #criticalcare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Ischemia, Compartment Syndrome ... Beta-Agonists, ↑ work ... • Presents as AG ... in Short Bowel Syndrome ... Differential #Diagnosis #criticalcare