26 results
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Acidosis - non anion ... gap metabolic acidosis ... - anion gap metabolic ... MD @nickmmark #acidbase ... #workup #algorithm
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Anion gap? ... : Anion Gap (AG ... Gap Metabolic acidosis ... Gap Metabolic acidosis ... MDaniyalHashmi1 #AcidBase
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap ... Framework and Workup ... VBG - Calculate Anion ... NonAnionGap #Acidosis #Metabolic ... Differential #Diagnosis #Workup
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Start with the Anion ... Diagnosis: • Anion ... Gap Metabolic Acidosis ... Gap Metabolic Acidosis ... Disorders #Evaluation #workup
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... primary problem – metabolic ... need to do more work ... = ANION GAP - ... MSc @AmyChung #AcidBase
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
gap metabolic acidosis ... gap greater than ... gap is variable ... production, the rate of metabolism ... Treatment with IV
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
3) Labs show anion-gap ... metabolic acidosis ... , Shock Labs: Anion-Gap ... Metabolic Acidosis ... diagnosis #management #Treatment
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... other processes Workup ... strep, HIV • CTD workup ... COP DDX: • CAP ... Treatment: •
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Labs showed high anion ... gap metabolic acidosis ... PhysicalExam #nephrology #clinical
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
(CAP) - Diagnosis ... aeruginosa Clinical ... in adults with clinically ... procalcitonin level Treatment ... #Management #treatment