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diagnosis differential management nephrology hematology abg acid acidbase addiction agitation aplastic base bloodgas classification cows criticalcare delirium disorders elevation encephalopathy
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
ABG And BMP Normal ... mmHg • HCO3 (on BMP ... Renal failure (uremia ... Acetazolamide Causes ... - Salicylates Causes
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Elevation, Lactic Acidosis ... perfusion - shock->treatments ... thorough physical assessment ... before beginning treatment ... 30mmHg) - Severe anemia
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Aplastic Anemia ... • Aplastic anemia ... Toxic injury to BM ... and petechiae Causes ... Treatment:
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... Redistribution: Acidosis ... PEA/VF • Labs: BMP ... only if no clear cause ... hyperchloremic acidosis
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... Renal tubular acidosis ... megaloblastic anemia ... #Hypokalemia #Causes
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
stepwise daily assessment ... syndrome (PRIS) - acidosis ... dissociative drug, it causes ... amnesia and analgesia ... result in lactic acidosis
Clinical Opioid Withdrawal Score (COWS) Resting Pulse Rate: Record beats per minute after patient is sitting or
Observation during assessment ... last ½ hour • 2 - nausea ... or twice during assessment ... Hospital Opioid Use Treatment ... Withdrawal #Scale #Buprenorphine
Causes of Neutropenia - Differential Diagnosis Neonate: - Infection - by far the most common cause -
Causes of Neutropenia ... hypertension and/or drug treatment ... replacing the BM ... Megaloblastic anemia-rare ... replacing the BM-common
Hepatic Encephalopathy Treatment • Lactulose: - Oral liquid, 30-45mL 2-4x/day, titrated to 2-4
Encephalopathy Treatment ... titrated to 2-4 BMs ... swallow) - Via enema ... For refractory cases ... Encephalopathy #Treatment
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