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Acid Base Disorders - Formulas for appropriate metabolic and respiratory compensation

- Dr Amith Sreedharan - Consultant
Acid Base Disorders ... Respiratory #Metabolic #Acidosis ... #Alkalosis #Compensation ... Formula #Winters #Diagnosis ... #Nephrology #AcidBase
Summary of metabolic compensation for respiratory acid-base disorders
#Diagnosis #Nephro #Respiratory #Acidosis #Alkalosis #Metabolic #Compensation #Formulas #Curbsiders
for respiratory acid-base ... disorders #Diagnosis ... #Respiratory #Acidosis ... #Alkalosis #Metabolic ... #Compensation #
Acid-Base Disorders - Differential Diagnosis Framework

 • Respiratory Acidosis
 • Respiratory Alkalosis
 • Metabolic Acidosis
 •
Acid-Base Disorders ... - Differential Diagnosis ... #Base #Disorders ... #nephrology #differential ... #diagnosis #acidosis
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... - Differential Diagnosis ... • Metabolic Acidosis ... • Respiratory Acidosis ... Algorithm #Causes #Compensation
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
Acid Base Compensation ... Directions - If all ... #Diagnosis #Nephro ... #AcidBase #Acidosis ... #Alkalosis #Metabolic
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... Base Disorders ... and Differential Diagnosis ... the appropriate compensation ... #acidosis #alkalosis
Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... by failure of compensation ... Step 7: Make the diagnoses ... joshsteinbergMD #Acid ... #Worksheet #diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... (AG) = {Na - (Cl ... - Differential Diagnosis ... #Summary #Nephrology ... ABG #bloodgas #Acid
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... poisoning Normal acid-base ... and potassium acid ... urine #Algorithm #nephrology ... #differential #diagnosis
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
• Metabolic alkalosis ... disequilibrium syndrome • Diagnosis ... Bumetanide, Ethacrynic acid ... specific bleeding disorders ... Excretion #Diuresis #Nephrology