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Acid Base Disorders - Formulas for appropriate metabolic and respiratory compensation

- Dr Amith Sreedharan - Consultant
Acid Base Disorders ... for appropriate metabolic ... #Acidosis #Alkalosis ... #Compensation # ... Diagnosis #Nephrology #AcidBase
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Acidosis (HCO3 ... < 35 mmHg) #AcidBase ... Diagnosis #Algorithm #Causes ... #Compensation
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Metabolic acidosis ... D-lactate (short bowel syndrome ... MDaniyalHashmi1 #AcidBase ... #disorders #Interpretation
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
patient have an acidosis ... compensation ... acidosis, you need ... to do more work ... MSc @AmyChung #AcidBase
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base Disorders ... chronic) of the disorder ... the appropriate compensation ... #Acid #Base #Disorders ... #Evaluation #workup
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
Ketosis Disorders ... bodies are a normal metabolic ... by an anion gap acidosis ... of re-feeding syndrome ... Glucosuria causes
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Electrolyte/fluid shifts caused ... from hormonal and metabolic ... changes and may cause ... Late: • Cardiac decompensation ... hyperparathyroidism Treatment
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... dissipation of metabolic ... maintained fever CAUSES ... #Differential #Causes ... Diagnosis #Management #Workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... with electrolyte disorders ... hypokalemia and metabolic ... Neurologic disorders ... #Hypertension #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
impairment of cellular metabolism ... sweat) - its metabolism ... perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome