309 results
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... gap metabolic acidosis ... Hyperkalemia: - Acidosis ... vasodilation - Acidosis ... to endothelial glycocalyx
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis
G - Glycols
O - Oxoproline
L - L-Lactate
D - D-Lactate
M
Gap Metabolic Acidosis ... Oxoproline L - L-Lactate ... D - D-Lactate ... AnionGap #Metabolic #Acidosis
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis ... Type A Lactic Acidosis ... Type B Lactic Acidosis ... Short bowel (D-lactate ... Linezolid #Lactic #Acidosis
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Gap Metabolic Acidosis ... acetaminophen use L-lactate ... metabolism D-lactate ... Gap #Metabolic #Acidosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
↓ ↓ Metabolic Acidosis ... For Metabolic Acidosis ... dosing) L L-lactate ... common form of lactate ... ) D D-lactate
Lactic Acidosis - Overview and Pathophysiology
Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
Lactic Acidosis ... Lactate is the conjugate ... does not cause acidosis ... ) Lactic Acidosis ... as an arterial lactate
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Elevation, Lactic Acidosis ... contribute to lactic acidosis ... Type A Lactic Acidosis ... Type B Lactic Acidosis ... #Lactic #Acidosis
High Anion Gap Metabolic Acidosis (HAGMA) - Mnemonics
Why should we switch from MUDPILES to GOLDMARK?
 •
Gap Metabolic Acidosis ... • Metabolic acidosis ... hypotension and lactic acidosis ... of AGMA: 1) D-lactate ... AnionGap #Metabolic #Acidosis
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Presents as AG acidosis ... with negative lactate ... sugars into D-Lactate ... #criticalcare #lactate
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Lactic Acidosis ... Type A Lactic Acidosis ... Type B Lactic Acidosis ... Fructose, Isoniazid, Lactate-based ... #TypeA #TypeB #lactate