14 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology ... #ABG #bloodgas ... #VBG #differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... of sodium and potassium ... #Metabolic #Alkalosis ... #Algorithm #nephrology ... #differential #
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Alkalosis - Differential ... (late) • High Urine ... #Alkalosis #Differential ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... (late) • High Urine ... #Alkalosis #Differential ... Diagnosis #Algorithm #Nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Alkalosis: Differential ... diuretic effect has ... • Severe potassium ... #Alkalosis #Differential ... Diagnosis #Causes #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
complications such as ... A urine K/Cr ratio ... Alkalosis: Emesis ... diagnosis #Algorithm #differential ... #potassium #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Acidosis (NAGMA) - Differential ... NAGMA - Chem, ABG ... NonAnionGap #Acidosis #Metabolic ... #NAGMA #Differential ... Diagnosis #Workup #nephrology
Blood gas analysis
Metabolic alkalosis
Measured urine CI
< 10 mEq/L
Saline responsive
> 10 mEg/L
Not saline responsive
- Vomiting or NG
Blood gas analysis ... Metabolic alkalosis ... Measured urine ... - Gitelman syndrome ... - Potassium depletion
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... (late) • High Urine ... #Alkalosis #Differential ... Diagnosis #Algorithm #Nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal ... Hypochloremic metabolic ... (spot urine, calcium-creatinine ... ratio 0.5%) Differential ... #diagnosis #nephrology