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Crystalloid Composition - Normal Saline, Ringer's Lactate, Hartmann's Solution, PlasmaLyte Ca2+ Mg2+ Cl- Acetate Lactate Gluconate Bicarbonate
Saline, Ringer's Lactate ... Ca2+ Mg2+ Cl- Acetate ... Lactate Gluconate ... #LR #Ringers #Lactated
Lactic Acidosis - Classification and Differential Diagnosis Type A Lactic Acidosis: Inadequate Oxygen Delivery • Anaerobic muscular
Biguanides, Carbon monoxide ... Fructose, Isoniazid, Lactate-based ... #TypeA #TypeB #lactate
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... categories Lactate ... The use of lactate ... With ↑ Lactate ... anemia - Carbon monoxide
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Lactated Ringers ... mEq/L • Sodium lactate ... pH of 4-7.5 Lactated ... mEq • Sodium Lactate ... mole/L of sodium lactate
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
malperfusion - Lactate ... MAP > 60-65 2) Lactate ... Differential #Diagnosis #criticalcare
Carbon Monoxide Poisoning Symptoms are non-specific: - Headache 90% - Nausea/vomiting 50% - Vertigo 50% - Altered
Carbon Monoxide ... PeterboroughEM #Carbon #Monoxide
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
with negative lactate ... requires separate D-lactate ... sugars into D-Lactate ... Differential #Diagnosis #criticalcare ... #lactate
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis G - Glycols O - Oxoproline L - L-Lactate D - D-Lactate M
Oxoproline L - L-Lactate ... D - D-Lactate
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
malperfusion • Lactate ... Diagnosis #Types #criticalcare
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
Elevated Lactate ... methysergide, carbon monoxide ... disease #LDH #Lactate
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