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classification lactic causes criticalcare management typea aniongap metabolic mnemonic renal acronym calculi calculus cold comparison definition distal elevation hypokalemia inopressors
Lactic Acidosis Classification - Type A vs Type B Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
A vs Type B Type ... Type B Lactic Acidosis ... Short bowel (D-lactate ... #TypeB #diagnosis ... #differential #
Lactic Acidosis - Classification and Differential Diagnosis Type A Lactic Acidosis: Inadequate Oxygen Delivery • Anaerobic muscular
Diagnosis Type ... hypoperfusion, Shock ... Hypoxemia, Anemia Type ... #Diagnosis #TypeA ... #TypeB #lactate
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
are listed as Type ... Elevation Type ... Nonhypoxic • Type ... - Alcohol • Type ... #typea #typeb #
Lactic Acidosis - Overview and Pathophysiology Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
PLUS a pH < 7.35 TYPE ... Increased O2 Demand TYPE ... Utilization (VO2) • Drugs ... Clearance • Other TYPE ... #types #differential
Anion Gap Metabolic Acidosis • Diabetic Ketoacidosis ± Hyperglycemia ± Hyperosmolar • Alcoholic Ketoacidosis ± Hyperglycemia
Hyperglycemia • Shock ... Ethylene glycol • Type ... - Drugs ( Albuterol ... #differential # ... diagnosis
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Framework Type ... Cardiogenic & Septic Shock ... dysfunction Type ... Thiamine & Biotin) Type
Metabolic Acidosis with Anion Gap - KILU Mnemonic K - Ketoacidosis • DKA - With normal glucose, ask if
• Type A = tissue ... hypoxia (e.g. shock ... • Type B = lymphoma ... or leukemia or drug ... #diagnosis #differential
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
type and etiology ... Pericardial tamponade, Pulmonary ... underlying etiology Dr ... #inopressors #diagnosis ... management #comparison #table
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Diagnosis Poor ... Renal tubular acidosis ... (Types 1 and 2, ... but not type 4) ... #Potassium #Table
Type B Lactic Acidosis Elevated lactic acid when no systemic hypoperfusion is apparent Causes: • Drugs (metformin, linezolid,
Type B Lactic Acidosis ... apparent Causes: • Drugs ... to clear) • D-lactate ... Thiamine deficiency #TypeB ... #diagnosis
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