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diagnosis algorithm differential management causes nephrology endocrinology hematology checklist clinical evaluation pulmonary treatment metabolic anesthesia anesthesiology criticalcare intraoperative peds pathophysiology
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
production Respiratory alkalosis ... Salicylates Metabolic Alkalosis ... - Contraction alkalosis ... nickmmark #acidbase #workup ... diagnosis #acidosis #alkalosis
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Periodic paralysis Alkalosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... tumor • Low PRA: Adenoma ... Primary #Metabolic #Alkalosis
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
more acidotic or alkalotic ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... Disorders #Evaluation #workup ... Diagnosis #acidosis #alkalosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... tumor • Low PRA: Adenoma ... aldosteronism #Metabolic #Alkalosis
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
Likely Metabolic Alkalosis ... Laxatives/Villous Adenoma ... Elevated #metabolic #alkalosis
Blood Gas Analysis and Interpretation STEPS TO ANALYSIS 1. Look at PH. Alkalotic or acidotic?
Alkalotic or acidotic ... - If alkalotic, ... then it is an alkalosis ... respiratory component) - alkalotic ... metabolic component) - alkalotic
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
Respiratory Acidosis + Alkalosis ... ↑ - Metabolic alkalosis ... - Respiratory alkalosis ... Compensation #acidosis #alkalosis
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Estrogen Releasing Adenoma ... Glucocorticoid Releasing Adenoma ... /- Hypokalemia/Alkalosis ... Aldosterone Releasing Adenoma
Acid-Base Disorders - Differential Diagnosis Framework • Respiratory Acidosis • Respiratory Alkalosis • Metabolic Acidosis •
• Respiratory Alkalosis ... • Metabolic Alkalosis ... diagnosis #acidosis #alkalosis
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