258 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Cl-: Diuretics, Bartter ... Primary #Metabolic #Alkalosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... responsive metabolic alkalosis ... resistant metabolic alkalosis ... diuretic use, Bartter ... use #Metabolic #Alkalosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Cl-: Diuretics, Bartter ... aldosteronism #Metabolic #Alkalosis
Causes of Metabolic Alkalosis - Differential Diagnosis
Chloride depletion syndromes
 • Gastrointestinal losses
    -
Causes of Metabolic Alkalosis ... furosemide) - Bartter ... #Metabolic #Alkalosis
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
production Respiratory alkalosis ... Salicylates Metabolic Alkalosis ... PLACE” B - Bartter's ... - Contraction alkalosis ... diagnosis #acidosis #alkalosis
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic Alkalosis ... Decreased BP = Bartter's ... #Metabolic #Alkalosis
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Likely Metabolic Alkalosis ... Barter, or Gitelman ... Elevated #metabolic #alkalosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... responsive metabolic alkalosis ... resistant metabolic alkalosis ... diuretic use, Bartter ... #Metabolic #Alkalosis
Blood gas analysis
Metabolic alkalosis
Measured urine CI
< 10 mEq/L
Saline responsive
> 10 mEg/L
Not saline responsive
- Vomiting or NG
analysis Metabolic alkalosis ... Distant diuretics - Bartter
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic Alkalosis ... /L • Gastric alkalosis ... actively working • Bartter ... site) Metabolic alkalosis ... #Metabolic #Alkalosis