8 results
Lactic Acidosis - Overview and Pathophysiology
Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
Lactic Acidosis ... why LR does not cause ... acidosis) Lactic ... as an arterial ... #Acidosis #types
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
A Lactic Acidosis ... peritonitis - Acute ... ’s • Reduced Arterial ... B Lactic Acidosis ... classification
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... • Obstructive arterial ... inspiratory drop in arterial ... tamponade • AECOPD/ Acute ... #causes
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Stable Angina • Acute ... Arrhythmia • Atrial ... • Metabolic Acidosis ... Differential #Diagnosis #Algorithm
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
SMART/SALT-ED trial ... sodium lactate NOT lactic ... states such as acute ... shift • Saline Causes ... • Saline May Cause
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA Acute ... extremities, oliguria, lactic ... acidosis) ACTIVATE ... Obtain femoral arterial
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
Arterial pH <7.3 ... patients with type ... physiologic stress or acute ... gap metabolic acidosis ... and acidosis has
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
hepatitis, or acute ... • Caused by splanchnic ... • ↓ Effective arterial ... Classification: ... HRS-AKI (formerly Type