9 results
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... 7.35) • Metabolic ... Acidosis (HCO3 ... • Respiratory Acidosis ... Alkalosis (HCO3
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base Disorders ... adding ~0.05 to pH ... chronic) of the disorder ... #Acid #Base #Disorders ... #Evaluation #workup
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Gas Analysis 1. pH ... gap metabolic acidosis ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... ↓ Metabolic Acidosis ... (AG) = {Na - (Cl ... Classically” noted with pulmonary ... #AcidBase #disorders
Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... has a primary alkalosis ... is metabolic; If ... is metabolic Step ... anion gap (Na - Cl
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA ... - Diarrhea pH ... Metabolic alkalosis ... Diagnosis #Causes #Workup
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
, CNS/muscular disorders ... for Respiratory Acidosis ... Alkalosis Urine ... Contraction Urine Cl ... #alkalosis #algorithm
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
ECF and ICF both work ... Acidosis. ... Metabolic Acidosis ... against the drop in pH ... diagnosis #treatment #pharmacology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
resistance • Metabolic ... alkalosis • Familial ... Torsemide) • Acute pulmonary ... specific bleeding disorders ... Diuresis #Nephrology #Pharmacology