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

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Metabolic alkalosis ... ) = {Na - (Cl + ... Metabolic alkalosis ... #Summary #Nephrology ... #ABG #bloodgas
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
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... Framework and Workup ... NAGMA - Chem, ABG ... #Metabolic #NAGMA ... #Workup #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,
reabsorption) Workup ... tourniquet / IVF line draw ... ) • 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
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
crusade against “Ab ... ECF and ICF both work ... Acidosis. ... Metabolic Acidosis ... criticalcare #management #diagnosis
#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