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diagnosis algorithm management differential nephrology clinical causes treatment hematology checklist evaluation endocrinology pulmonary criticalcare metabolic anesthesia anesthesiology peds pocus intraoperative
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
production Respiratory alkalosis ... Salicylates Metabolic Alkalosis ... - Contraction alkalosis ... nickmmark #acidbase #workup ... diagnosis #acidosis #alkalosis
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Periodic paralysis Alkalosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Cl-: Vomiting, NGT ... Primary #Metabolic #Alkalosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Cl-: Vomiting, NGT ... aldosteronism #Metabolic #Alkalosis
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
more acidotic or alkalotic ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... Disorders #Evaluation #workup ... Diagnosis #acidosis #alkalosis
Blood Gas Analysis and Interpretation STEPS TO ANALYSIS 1. Look at PH. Alkalotic or acidotic?
Alkalotic or acidotic ... - If alkalotic, ... then it is an alkalosis ... respiratory component) - alkalotic ... metabolic component) - alkalotic
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic Alkalosis ... • Vomiting • NG ... #Metabolic #Alkalosis
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
Respiratory Acidosis + Alkalosis ... ↑ - Metabolic alkalosis ... - Respiratory alkalosis ... Compensation #acidosis #alkalosis
Acid-Base Disorders - Differential Diagnosis Framework • Respiratory Acidosis • Respiratory Alkalosis • Metabolic Acidosis •
• Respiratory Alkalosis ... • Metabolic Alkalosis ... diagnosis #acidosis #alkalosis
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
Likely Metabolic Alkalosis ... loss (Vomiting/NG ... Elevated #metabolic #alkalosis
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