588 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Cl-: Diuretics, Bartter ... syndrome #Primary #Metabolic
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Cl- responsive metabolic ... Post-hypercapneic metabolic ... Cl- resistant metabolic ... diuretic use, Bartter
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Low intake • Metabolic ... Renal Losses: • Metabolic ... thiazide diuretics, Bartter
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Cl-: Diuretics, Bartter ... aldosteronism #Metabolic
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
• Salicylates Metabolic ... PLACE” B - Bartter's ... or Cushing’s) Metabolic ... non anion gap metabolic ... - anion gap metabolic
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Decreased BP = Bartter's ... ThePeanutKidney #Metabolic
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Gas) (-) Likely Metabolic ... Barter, or Gitelman ... Bicarbonate #Elevated #metabolic
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Cl- responsive metabolic ... Post-hypercapneic metabolic ... Cl- resistant metabolic ... diuretic use, Bartter
Blood gas analysis
Metabolic alkalosis
Measured urine CI
< 10 mEq/L
Saline responsive
> 10 mEg/L
Not saline responsive
- Vomiting or NG
gas analysis Metabolic ... Distant diuretics - Bartter
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Pressure: - Metabolic ... Emesis, Diuretics, Bartter ... Hippurate - Metabolic