168 results
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis ... Type B Type A Lactic ... Hemorrhagic shock, Hypoperfusion ... Cardiogenic shock Type B Lactic ... transcriptases, Linezolid #Lactic
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Lactic Acidosis ... Diagnosis Type A Lactic ... convulsions • Tissue hypoperfusion ... arrest, Regional hypoperfusion ... Anemia Type B Lactic
Type B Lactic Acidosis
Elevated lactic acid when no systemic hypoperfusion is apparent
Causes:
 • Drugs (metformin, linezolid,
Type B Lactic Acidosis ... Elevated lactic ... when no systemic hypoperfusion ... deficiency #TypeB #Lactic
Comparison of Pathologic Breathing Patterns
Biot's respiration aka ataxic respiration:
 - Periodic breathing: hyperpnea (or normopnea) and
(U) L = Lactic ... acid/Lactic acidosis ... Hypoxemia/Drugs - Hypoperfusion
Systemic Inflammatory Response Syndrome (SIRS) Criteria - Definitions of Sepsis, Severe Sepsis and Septic Shock

Systemic Inflammatory
Sepsis = Sepsis + Lactic ... Hypotension, or hypoperfusion
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactate Elevation, Lactic ... hypoxemia - tissue hypoperfusion ... apart from tissue hypoperfusion ... - hypoperfusion ... contribute to lactic
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Evidence of end organ hypoperfusion ... extremities, oliguria, lactic
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
endothelial damage; if hypoperfusion ... initially with a beta-lactam-beta-lactamase
Lactulose: Mechanism of Action in Hepatic Encephalopathy
Lactulose → ↑ Lactic Acid, Acetic Acid → ↓ pH
Lactulose → ↑ Lactic ... Acid, Acetic Acid
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Summary Identifying Hypoperfusion ... Congestion vs Hypoperfusion