47 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Remote use of loop ... pressure: Active diuretic ... #causes #urinary
#Diagnosis #Nephro #AcidBase #Disorders #Acidosis #Alkalosis #Metabolic #Respiratory #Algorithm #Curbsiders
Diagnosis #Nephro #AcidBase ... Disorders #Acidosis #Alkalosis ... #Metabolic #Respiratory ... #Algorithm #Curbsiders
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
pH < 7.35) • Metabolic ... pH > 7.45) • Metabolic ... Alkalosis (HCO3 ... < 35 mmHg) #AcidBase ... #Causes #Compensation
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Urinary Chloride Algorithm ... Remote use of loop ... the indicated causes ... #Metabolic #Alkalosis
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... fibrosis • Remote diuretic ... #Alkalosis #Causes
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Alkalosis - “BLVD ... D - Diarrhea/diuretics ... - Contraction alkalosis ... MD @nickmmark #acidbase ... #workup #algorithm
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Gas) (-) Likely Metabolic ... Alkalosis Urine ... - Loop or Thiazides ... - Loop or Thiazides ... #alkalosis #algorithm
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... • Thiazide or loop ... diuretics after ... renal tubule diuretic ... #Diagnosis #Causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... Low Cl intake, Diuretics ... #Nephrology #Causes
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts: - Alkalosis ... anhydrase inhibitors, loop ... syndrome (mimics loop ... #Hypokalemia #Causes