11 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... Metabolic alkalosis ... Metabolic alkalosis ... failure (uremia) K ... #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
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
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... NAGMA - Chem, ABG ... #Metabolic #NAGMA ... #Differential #Diagnosis ... #Workup #nephrology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... show anion-gap metabolic ... Alkalosis, High ... Lactate, Low Potassium ... 4.5 mmol/L 4) K
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... Decreased Intake: • Low ... alkalosis - Fistulas ... acidosis - Cl ... Pathophysiology #Nephrology
Citrate Anticoagulation Toxicity

Hypernatremia (HyperNa):
 - Citrate solutions may have ↑ sodium content and should be paired
Acidosis: - Citrate ... dysfunction or low ... alkalosis: - Bicarbonate ... Toxicity #toxicology #nephrology ... #diagnosis
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
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
crusade against “Ab ... inevitably leads to Metabolic ... Acidosis. ... Metabolic Acidosis ... criticalcare #management #diagnosis
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