3018 results
How Do I Approach the Patient with High Lactate? - Differential Diagnosis for Lactic Acidosis

#Lactic #LacticAcidosis
Patient with High Lactate ... Diagnosis for Lactic ... Acidosis #Lactic ... #CriticalCare #Causes
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... Elevation, Lactic ... contribute to lactic ... Causes of Lactate ... #Lactic #Acidosis
Lactic Acidosis - Overview and Pathophysiology
Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
Lactic Acidosis ... Pathophysiology Lactic ... Lactate is the conjugate ... why LR does not cause ... as an arterial lactate
Differential Diagnosis of Elevated Serum Lactate 

#Diagnosis #Lactic #Acidosis #LacticAcidosis #TypeA #TypeB #Types #Differential #Ddxof #Causes
Elevated Serum Lactate ... #Diagnosis #Lactic ... Differential #Ddxof #Causes
Toxic Alcohol Ingestion: Isopropyl Alcohol
General concepts for toxic alcohols:
• Parent compounds (not metabolites) cause high osmolal
not metabolites) cause ... pyruvate converts to lactate ... --> causes lactic
Type B Lactic Acidosis
Elevated lactic acid when no systemic hypoperfusion is apparent
Causes:
 • Drugs (metformin, linezolid,
Type B Lactic Acidosis ... Elevated lactic ... hypoperfusion is apparent Causes ... to clear) • D-lactate ... #Acidosis #causes
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
acetaminophen use L-lactate ... metabolism D-lactate ... salicylate toxicity causes ... lactic & ketoacidosis
Considerations for Crystalloids - 0.9% NS vs LR vs Plasma-Lyte
 - Causes hyperkalemia?
 - Safe to
Plasma-Lyte - Causes ... - Causes lactic ... - Serum lactate ... - Can cause a NAGMA
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... mEq/L • Sodium lactate ... NOT lactic acid ... shift • Saline Causes ... • Saline May Cause
High Anion Gap Metabolic Acidosis (HAGMA) - Mnemonics
Why should we switch from MUDPILES to GOLDMARK?
 •
toxins that can cause ... hypotension and lactic ... recognized as causes ... of AGMA: 1) D-lactate