10 results
Acid Base Disorders - Formulas for appropriate metabolic and respiratory compensation

- Dr Amith Sreedharan - Consultant
Acid Base Disorders ... for appropriate metabolic ... #Acidosis #Alkalosis ... #Compensation # ... Winters #Diagnosis #Nephrology
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... pH < 7.35) • Metabolic ... pH > 7.45) • Metabolic ... Alkalosis (HCO3 ... #Causes #Compensation
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base ... more acidotic or alkalotic ... than expected based ... the appropriate compensation ... Disorders #Evaluation #workup
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... acidosis or an alkalosis ... concomitant respiratory alkalosis ... need to do more work ... #Acidosis #Alkalosis
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Acid Base and Blood ... Alkalosis - “BLVD ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Step 3 - Compensation ... compensation ... Diagnosis #Summary #Nephrology ... bloodgas #Acid #Base
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Periodic paralysis Alkalosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup ... #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Urinary Chloride Algorithm ... poisoning Normal acid-base ... #Metabolic #Alkalosis ... #nephrology #differential
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... alkalosis - Fistulas ... secretion • Acid-base ... components of acid-base ... Pathophysiology #Nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Acute Respiratory Alkalosis ... inhibitor, Estrogen based ... #nephrology #phosphorus ... #workup