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Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
• Metabolic Acidosis (HCO3 < 24mmol/L) CO2

Acid-Base Disorders - Differential ... HCO3 < 24mmol/L) CO2 ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2 ... AcidBase #Disorders #Differential

Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,

- Alveolar CO2 ... • PvCO2 - Mixed ... venous CO2 • ... PaCO2 - Arterial ... #Capnography #interpretation

Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -

Alkalosis pH ↓ pCO2 ... acidosis pH ↑ pCO2 ... alkalosis pH ↑ pCO2 ... alkalosis pH ↓ pCO2 ... ABG #Analysis #Interpretation

Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -

A-a gradient = PAO2 ... - PaO2 A-a gradient ... (Patm - 47) - (PaCO2 ... Level) [150- (PaCO2 ... Hypoxia #hypoxemia #differential

Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the

2. pCO2 - What’s ... the pCO2? ... Medications, Central, ↑ CO2 ... respiratory #bloodgas #interpretation

Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation:
1. Acidemia or Alkalemia?
2.

for Blood Gas Interpretation ... Differentials? ... Metabolic: pH pCO2 ... acidosis Step 5 - Differential ... Base #Gas #VBG #differential

PLACO Mnemonic - Approach to Acid-Base Disorders
P - Determine the pH
L - Labs: PCO2 & HCO3
A

PLACO Mnemonic - ... pH L - Labs: PCO2 ... diagnosis #nephrology #Mnemonic

Generalized Hyperpigmentation Differentials
Use the Mnemonic "no skin SPARED"

Images from dermnet.nz and merckmanuals

Mnemonic from https://www.medscape.com/slideshow/dermatology-mnemonics-6011359#5 #diagnosis #differential

Hyperpigmentation Differentials ... Use the Mnemonic ... merckmanuals Mnemonic ... slideshow/dermatology-mnemonics ... #5 #diagnosis #differential

Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?

Blood Gas (ABG) Interpretation ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... AcidBase #ABG #Interpretation

Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all

CI-, HCO3-, PH, pCO2 ... 3: Look at the pCO2 ... . 3a: If pCO2 ... diagnoses using the differentials ... Worksheet #diagnosis #differential

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