11 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... compensation ... Metabolic acidosis ... dosing) L L-lactate ... ) D D-lactate
Considerations for Crystalloids - 0.9% NS vs LR vs Plasma-Lyte
 - Causes hyperkalemia?
 - Safe to
hyperkalemia? ... acidosis? ... - Serum lactate ... patients with a metabolic ... #indications #comparison
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline (NS) - Comparison ... development of metabolic ... Is Dangerous in Hyperkalemia ... shift • Saline Causes ... • Saline May Cause
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 ... Aspirin #Toxicity #Toxicology ... #Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... - Differential ... sweat) - its metabolism ... Causes of Lactate ... - Shock - Hypovolemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Summary Causes ... Heat stroke - Metabolic ... Isotonic fluid/Lactated ... #causes #treatment
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... , Heat stroke, Metabolic ... Dialysis for severe hyperkalemia ... #Summary #causes ... #treatment
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Hypochloremic metabolic ... ratio 0.5%) Differential ... Renal tubular acidosis ... Rhabdomyolysis Treatment ... diagnosis #nephrology #management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... The metabolism of ... convert Pyruvate to Lactate ... #diagnosis #differential ... #algorithm #management
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
Metabolic Acidosis ... K+ in the ECF causes ... Hyperkalemia, a ... #criticalcare #management ... #diagnosis #treatment