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diagnosis differential nephrology algorithm management acidbase hypokalemia pathophysiology abg acid aspirin bariatric base bloodgas bulimianervosa bypass chloride criticalcare diuresis diuretics
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Acidosis (HCO3 ... Alkalosis (HCO3 ... Diagnosis #Algorithm #Causes ... #Compensation
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Metabolic alkalosis ... D-lactate (short bowel syndrome ... of Metabolic Alkalosis ... #AcidBase #disorders
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... , Gitelman syndrome ... the indicated causes ... of sodium and potassium ... #Metabolic #Alkalosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
life threatening complications ... treated with IV potassium ... wasting from other causes ... Alkalosis: Emesis ... acidosis: Proximal
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
no respiratory cause ... show anion-gap metabolic ... Alkalosis, High ... Lactate, Low Potassium ... diagnosis #management #Treatment
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... chronic respiratory acidosis ... • Severe potassium ... after fasting #Metabolic ... #Diagnosis #Causes
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal ... Hypochloremic metabolic ... Renal tubular acidosis ... diarrhea Potential Complications ... Rhabdomyolysis Treatment
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
from hormonal and metabolic ... changes and may cause ... severe clinical complications ... Late: • Cardiac decompensation ... hyperparathyroidism Treatment
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts: - Alkalosis ... plasma insulin (treatment ... hypomagnesemia), Eating disorders ... Renal tubular acidosis
Differential Diagnosis of Respiratory Acid-Base Disorders Alkalosis A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Respiratory Acid-Base Disorders ... Alkalosis A. ... Recovery from metabolic ... respiratory distress syndrome ... #diagnosis #causes
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