7 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Metabolic alkalosis ... Diagnosis: Causes ... of Metabolic Alkalosis ... #disorders #Interpretation
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Bartter syndrome, Gitelman ... the indicated causes ... #differential # ... diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... : • Normal Acid-Base ... Bartter syndrome, Gitelman ... #causes #potassium ... #low #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... Alkalosis: Emesis ... acidosis: Proximal ... #Hypokalemia #diagnosis ... #potassium #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... chronic respiratory acidosis ... #Alkalosis #Differential ... #Diagnosis #Causes
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
(spot urine, calcium-creatinine ... ratio 0.5%) Differential ... tubular acidosis ... Rhabdomyolysis Treatment ... #Syndrome #diagnosis
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... plasma insulin (treatment ... tubular acidosis ... #differential # ... diagnosis #nephrology