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Acid Base Disorders - Formulas for appropriate metabolic and respiratory compensation

- Dr Amith Sreedharan - Consultant
Acid Base Disorders ... and respiratory ... compensation ... #Metabolic #Acidosis ... Winters #Diagnosis #Nephrology
Summary of metabolic compensation for respiratory acid-base disorders
#Diagnosis #Nephro #Respiratory #Acidosis #Alkalosis #Metabolic #Compensation #Formulas #Curbsiders
Summary of metabolic ... compensation for ... respiratory acid-base ... #Acidosis #Alkalosis ... #Metabolic #Compensation
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Acidosis (HCO3 ... Acidosis (pCO2 ... Diagnosis #Algorithm #Causes ... #Compensation
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
Acid Base Compensation ... it is a primary respiratory ... Nephro #AcidBase #Acidosis ... #Alkalosis #Metabolic ... #Respiratory #Compensation
Acid-Base Disorders - Differential Diagnosis Framework

 • Respiratory Acidosis
 • Respiratory Alkalosis
 • Metabolic Acidosis
 •
Acid-Base Disorders ... Acidosis • Respiratory ... Acidosis • Metabolic ... #AcidBase #Acid ... Base #Disorders #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Respiratory or Metabolic ... • Respiratory compensation ... Diagnosis #Summary #Nephrology ... ABG #bloodgas #Acid
High Anion Gap Metabolic Acidosis (HAGMA) - Mnemonics
Why should we switch from MUDPILES to GOLDMARK?
 •
) - Mnemonics Why ... • Metabolic acidosis ... toxins that can cause ... and acid precursors ... recognized as causes
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... patient have an acidosis ... compensation ... compensation if ... #Metabolic #Acidosis
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Metabolic and Respiratory ... Methanol (formic acid ... glycol (-> oxalic acid ... #Metabolic #Algorithm ... Recommended Text: Nephrology
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Acidosis (HAGMA ... salicylate toxicity causes ... underexcretion of acids ... Diagnosis #GOLDMARK #mnemonic ... #nephrology