678 results
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Renal Tubular Acidosis ... collecting duct function ... #RenalTubular #Acidosis
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
or Respiratory Acidosis ... Impaired Renal Function
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
Loss of metabolic function ... Coagulopathy, Lactic acidosis
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline Exacerbates Acidosis ... gap metabolic acidosis ... Hyperkalemia: - Acidosis ... vasodilation - Acidosis ... coagulopathy - functional
Metformin: Biguanide
Metformin is the first-line medication for treatment of type 2 diabetes. It is very effective
patients renal function ... since lactic acidosis
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
- Metabolic acidosis ... Loss of muscle function ... - Mild lactic acidosis
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
• HYPERCAPNIA/ACIDOSIS ... clearance (worsening function ... therefore worsening function
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
leads to Metabolic Acidosis ... Metabolic Acidosis ... derangements in function
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
impacts respiratory function ... to respiratory acidosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
↓ ↓ Metabolic Acidosis ... For Metabolic Acidosis ... alkalosis/Resp acidosis ... Gap Metabolic acidosis ... - Vomiting, NG suction