17 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... responsive metabolic alkalosis ... resistant metabolic alkalosis ... of sodium and potassium ... #Metabolic #Alkalosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... - Metabolic Alkalosis ... - Metabolic acidosis ... : Proximal RTA, ... #differential #potassium
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
↑ ↑ Metabolic alkalosis ... ↑ ↓ Resp Alkalosis ... Causes of Metabolic Alkalosis ... of Respiratory alkalosis ... disease (COPD, OSA
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Differential Algorithm Acidosis ... - RTA - Diarrhea ... Periodic paralysis Alkalosis ... Metabolic alkalosis
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
(Hx of COPD, OSA ... for Respiratory Acidosis ... Likely Metabolic Alkalosis ... Elevated #metabolic #alkalosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
• Metabolic acidosis ... • Metabolic acidosis ... Proximal and distal RTA ... Algorithm #causes #potassium
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Renal tubular acidosis ... Catecholamines - Alkalosis ... Diagnosis #Low #Potassium
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Gap Metabolic Acidosis ... Proximal RTA (type ... Distal (classic) RTA ... dysfunction (type 4 RTA ... Potassium-sparing
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
anion-gap metabolic acidosis ... Anion-Gap Metabolic Acidosis ... , Respiratory Alkalosis ... High Lactate, Low Potassium
Toluene Poisoning - Diagnosis and Management Summary
What is it?  Volatile hydrocarbon, Glue or paint-sniffing, Occupational
Early raised AG acidosis ... normal anion gap acidosis ... paralysis • Distal-RTA ... environment • Potassium