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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... or restrictive lung ... MDaniyalHashmi1 #AcidBase
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... Berlin criteria ... edema must be present ... the underlying cause
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI ... brain injury, cerebral
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... Edema: - Widespread ... the severity Acute ... Syndrome (ARDS)
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... Distress Syndrome ... edema must be present ... lobar collapse, lung ... #Syndrome #Berlin
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
3:1), and the base ... • ↑ Mechanical stress ... edema in acute ... edema • Metabolic ... Increased mechanical stress
Differential Diagnosis of Respiratory Acid-Base Disorders
Alkalosis
A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Respiratory Acid-Base ... edema, Aspiration ... syndrome, Barotrauma ... #respiratory #acidbase ... differential #diagnosis #causes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
more than just simply ... be determined based ... with presence of pulmonary ... coronary syndrome ... the determined cause
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
pleural effusions • Acute ... toxicity (e.g., acute ... respiratory distress ... syndrome) is rare ... • Favorable in case