100 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Respiratory or Metabolic ... Anion gap? ... compensation • Respiratory ... : Anion Gap (AG ... Classically” noted with pulmonary
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Respiratory Acidosis ... CO2 production Respiratory ... Acidosis - non anion ... gap metabolic acidosis ... - anion gap metabolic
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Metabolic and Respiratory ... Diagnostic Algorithm Anion ... gap - MUDPILES: ... late) Normal anion ... gap - HARDASS:
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
tachypnea with no respiratory ... 3) Labs show anion-gap ... , Diaphoresis, Pulmonary ... , Shock Labs: Anion-Gap ... Metabolic Acidosis, Respiratory
Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation → flattening
Hoover's sign on ... on inspiration Pulmonary ... PhysicalExam #Clinical #Video ... #Breathing #Respiratory ... #pulmonary
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 ... retention • Respiratory ... Ventilation • Respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent Sign ... Video via Dr. ... Tracheal #Descent #Sign ... #clinical #video ... #pulmonary #breathing
Flail Chest on Physical Exam

Anterior flail chest post MVA, see seatbelt sign as another clue

Neville @docvlok

#Flail
, see seatbelt sign ... PhysicalExam #clinical #video ... #trauma #pulmonary ... #seatbelt #sign ... #respiratory
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 ... Common, early signs ... gap greater than ... gap is variable ... gap closes and
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... – metabolic or respiratory ... Think ROME = Respiratory ... do more work = ANION ... GAP - Amy Chung