12 results
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity ... anion-gap metabolic acidosis ... Anion-Gap Metabolic Acidosis ... , Respiratory Alkalosis ... #Aspirin #Toxicity
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
and Respiratory Acidosis ... and Alkalosis - ... INH - Lactic acidosis ... oxalic acid) - Salicylates ... #Alkalosis #Respiratory
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
production Respiratory alkalosis ... • Pregnancy • Salicylates ... Metabolic Alkalosis ... - Contraction alkalosis ... #alkalosis #metabolic
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
gap metabolic acidosis ... Kidney tubular acidosis ... gap metabolic acidosis ... ketoacidosis, D-lactic acidosis ... , Chronic salicylate
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
↑ ↑ Metabolic alkalosis ... ↑ ↓ Resp Alkalosis ... Methanol A Aspirin (salicylates ... of Respiratory alkalosis ... associated hypoxia) - Salicylates
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... responsive metabolic alkalosis ... resistant metabolic alkalosis ... • Chronic salicylate ... #Metabolic #Alkalosis
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Gap Metabolic Acidosis ... Aspirin - salicylate ... toxicity causes ... Gap #Metabolic #Acidosis
Salicylate Poisoning - Toxicology

Acute toxicity = vomiting, tachypnea, tinnitus, diaphoresis, and lethargy. This may progress to
Salicylate Poisoning ... mixed respiratory alkalosis ... and metabolic acidosis ... occurs at lower salicylate ... Kat_Watson #Salicylate
Colchicine Toxicity 
Naturally-occurring plant alkaloid [Autumn Crocus and Glory Lilly]
2-24 hrs 
 • Severe GI distress
Colchicine Toxicity ... Naturally-occurring plant alkaloid ... • Metabolic acidosis ... #Colchicine #Toxicity
Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
	• DKA
		- With normal glucose, ask if
Metabolic Acidosis ... alcohol level) • salicylates ... (+ resp alkalosis ... AnionGap #Metabolic #Acidosis