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Acid Base Disorders - Formulas for appropriate metabolic and respiratory compensation

- Dr Amith Sreedharan - Consultant
Acid Base Disorders ... #Acidosis #Alkalosis ... #Compensation # ... Winters #Diagnosis #Nephrology ... #AcidBase
Acid-Base Disorders - Differential Diagnosis Framework

 • Respiratory Acidosis
 • Respiratory Alkalosis
 • Metabolic Acidosis
 •
Acid-Base Disorders ... AcidosisMetabolic ... Kfischer_10 #AcidBase ... #Acid #Base #Disorders ... #nephrology #differential
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... pH < 7.35) • Metabolic ... Acidosis (HCO3 ... < 35 mmHg) #AcidBase ... Algorithm #Causes #Compensation
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Metabolic acidosis ... MDaniyalHashmi1 #AcidBase ... #disorders #Interpretation ... Diagnosis #Summary #Nephrology
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 ... differential #diagnosis #management ... #endocrinology
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 • CVVHD - Continuous Veno-Venous hemodialysis -
Renal Replacement Therapy ... by AEIOU: A: acidosis ... correction of metabolic ... #Indications #Nephrology ... #Management
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Renal Replacement Therapy ... (AIEOU): • A: Acidosis ... usually severe metabolic ... #RRT #managment ... #nephrology #CRRT
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
resistance • Metabolic ... irrigation • Management ... with standard therapy ... specific bleeding disorders ... Excretion #Diuresis #Nephrology