10 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... Do you need an ABG ... Generally, for acid ... ~0.05 to pH and ... final step is to assess
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... salicylates) R Renal ... - Diarrhea - Renal ... acidosis/Chronic renal ... #bloodgas #Acid
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
OTCs, herbals, abx ... protein/Cr - Renal ... /bladder US w/ PVR ... - CPK, uric acid ... - 45% - Pre-renal
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Intraabdominal Abscess ... BP with lower abd ... intra-abdominal abscesses ... to the urinary bladder ... clinical #Abdominal #Ultrasound
Bladder Air secondary to Colovesical Fistula on POCUS

40's male with fever, low abd pain, cloudy urine/bubbles.
Bladder Air secondary ... with fever, low abd ... States bladder full ... with diverticular abscess ... POCUS #clinical #ultrasound
Renal Abscess on POCUS
Left flank pain. On ABX Day 5 for pyelo. She has hx of
Renal Abscess on ... On ABX Day 5 for ... abscess, complex ... abscess Dr. ... POCUS #clinical #ultrasound
1
Formation of organic acids
Lactate, dissociated fatty acids, acetic acids, etc.
Metabolism
H formationt
4
Hyperkalemia
ЗНСО,
Na
2
Mineralization
3
Hypoventilation
CO;
POA
3-
HCO;
6
CO, output # with expiration
Diarrhea
5
H*-
Proximal tubule
Renal
Formation of organic acids ... , acetic acids, ... Proximal tubule Renal ... Hypoaldo- steronism Arg ... 8 [Co] HO pH
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Check and maintain ABC ... Intravenous (IV) access ... Consider CBC, renal ... If no IV access. ... • IV Valproic acid
#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
#ICUCard RENAL ... (Na U(U/P Cr) Renal ... AG S 8-16 mEq ... 50mmHg (acute I pH ... on FIO2 < 50% pH
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
hydronephrosis/stone/abscess ... worsen despite abx ... considered some kind of abscess ... Point of Care Ultrasound ... kidney #clinical #ultrasound