9 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... and Differential Diagnosis ... 3) Now, look at ... Do you need an ABG ... #acidosis #alkalosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Metabolic alkalosis ... ) = {Na - (Cl + ... Metabolic alkalosis ... #Summary #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... /low blood pressure ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #diagnosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... - Differential Diagnosis ... - Normal/low blood ... poisoning • Normal acid-base ... #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Losses: • Normal Acid-Base ... Metabolic acidosis ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
consumption • Low ... Alkalosis: Emesis ... acidosis: Proximal ... #Hypokalemia #diagnosis ... #nephrology #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
tourniquet / IVF line draw ... (Assess GFR), ±VBG ... ) • Low K diet ... Management #Treatment #potassium ... #nephrology #K
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal ... or low blood pressure ... Renal tubular acidosis ... Gitelman #Syndrome #diagnosis ... #nephrology #management
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
Trans Tubular Potassium ... (HCO3d-HCO3m) Metabolic ... Acidosis ІнСО3 ... Alkalosis ТНСО3 ... 9 Respiratory Acidosis