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Arterial Blood Gas (ABG) Interpretation • AG/non-AG Metabolic Acidosis • AG Acidosis "Delta/Delta" • Metabolic Alkalosis
Arterial Blood Gas (ABG ... Interpretation • AG ... /non-AG Metabolic ... Acidosis • AG ... Arterial #BloodGas #ABG
How much sodium is in 1 Liter of Normal Saline? In Bags if Potato Chips
In Bags if Potato ... mg Na A 1 oz. bag ... much sodium as 20 bags ... Carmody @jbcarmody #bags
Purple Urine Bag Syndrome Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine Tryptophan → Indoxyl
Purple Urine Bag ... Purple #Urine #Bag ... pathophysiology #clinical
Metabolic Pathways of Purple Urine Bag Syndrome: Adopted from chart originally published in Purple Urine Bag
of Purple Urine Bag ... in Purple Urine Bag ... Purple #Urine #Bag
Potassium Electrolyte Repletion If patient also has hypomagnesemia, replete magnesium before repleting potassium Oral: • Pills (ask pharmacy
otherwise really big ... Solution (tastes bad
Severe Left Atrial Enlargement on Echocardiogram Have you ever seen a left atrium this big!?!? LA diameter
left atrium this big ... Echocardiogram #Clinical ... #POCUS #A4C
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 Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
DFA sputum, LDH, ABG ... , BDG, Serum Cryptococcal ... Ag, Urine Histo ... Ag, Respiratory
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
the Anion Gap (AG ... expected based on the AG ... the change in AG ... Do you need an ABG ... approximates an ABG
Causes of Hypercalcemia due to increased Vitamin D levels • The BIG 3:
levels • The BIG ... Silicone-induced granuloma, BCG-associated
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
Specificity: - Serum BDG ... cut-offs defined in clinical ... should not increase BDG ... plasmalyte for BAL ... causing positive BAL
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