18 results
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Differential Diagnosis Algorithm ... 7.35) • Metabolic ... > 7.45) • Metabolic ... 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 ... Ketoacidosis, Renal ... of H+, Renal loss ... #Evaluation #workup
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... hyperaldosteronism • High PRA: Renal ... #Diagnosis #Algorithm
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... (AG) = {Na - (Cl ... - Diarrhea - Renal ... Classically” noted with pulmonary ... #AcidBase #disorders
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... - Diarrhea pH ... Metabolic alkalosis ... Renal artery stenosis ... Diagnosis #Causes #Workup
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... hyperaldosteronism • High PRA: Renal ... #Diagnosis #Algorithm
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Gas Analysis 1. pH ... Alkalosis - “BLVD ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
, CNS/muscular disorders ... Gas) (-) Likely Metabolic ... Alkalosis Urine ... Contraction Urine Cl ... #alkalosis #algorithm
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 ... patient's acidosis is metabolic ... anion gap (Na - Cl
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Diagnosis and Workup ... Blood Work: - ... Hypomagnesemia - Metabolic ... Alkalosis - Elevated ... Fractional excretion of Cl