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Food carbohydrates Starch Polysaccharides Salivary amylase G) Pancreatic amylase Lactose Maltose Lumen Lactase Maltase O Sucrase Saccharose Disaccharides Nat cotransport carrier Villus epithelial cell Galactose Glucose Glucose Glucose Glucose Fructose Galactose Na*- and energy- dependent absorption Glucose Facilitated diffusion #Fructose Monosaccharides Energy dependent Blood capillary Na+
Pancreatic amylase Lactose ... Maltose Lumen Lactase ... Glucose Glucose Fructose ... Facilitated diffusion #Fructose
Lactic Acidosis - Classification and Differential Diagnosis Type A Lactic Acidosis: Inadequate Oxygen Delivery • Anaerobic muscular
, Epinephrine, Fructose ... , Isoniazid, Lactate-based ... #TypeA #TypeB #lactate
Crystalloid Composition - Normal Saline, Ringer's Lactate, Hartmann's Solution, PlasmaLyte Ca2+ Mg2+ Cl- Acetate Lactate Gluconate Bicarbonate
Saline, Ringer's Lactate ... Ca2+ Mg2+ Cl- Acetate ... Lactate Gluconate ... #LR #Ringers #Lactated
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Lactated Ringers ... mEq/L • Sodium lactate ... pH of 4-7.5 Lactated ... mEq • Sodium Lactate ... mole/L of sodium lactate
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... categories Lactate ... The use of lactate ... perfusion - shock->treatments ... before beginning treatment
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
malperfusion - Lactate ... Dehydration Shock Treatment ... MAP > 60-65 2) Lactate ... criticalcare #algorithm #treatment
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
and Bloating - Treatment ... • Lactulose/Fructose ... Diagnostics and Testing Treatment ... Diagnosis #Algorithm #Treatment
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis G - Glycols O - Oxoproline L - L-Lactate D - D-Lactate M
Oxoproline L - L-Lactate ... D - D-Lactate
Lactic acid was first found & described in sour milk by Karl Wilhelm Scheele in 1780.
equilibrium with lactate ... ratio of about 25 lactate ... Thus, lactate is ... #Lacticacid, #Lactate
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK Glycols - ethylene and propylene glycol Oxoproline
acetaminophen use L-lactate ... metabolism D-lactate
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