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diagnosis acidosis differential acidbase base bloodgas disorders interpretation nephrology acutekidneyinjury aki algorithm causes evaluation gas icucard metabolic respiratory summary vbg
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid ... Generally, for acid ... an ABG by adding ... ~0.05 to pH and ... Ketoacidosis, Renal
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
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Interpretation and Acid-Base ... acidosis or an alkalosis ... Look at the pH 2 ... AmyChung #AcidBase #ABG
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
1 Consumption of organic anions 2 Demineralization 3 Lactate, dissociated fatty acids, etc. Metabolism Ht consumptiont cos- РО}- HPOT HCO3 Hyperventilation CO, output with expiration† 6 Vomiting Нуро- kalemia Нуро- volemia H HCO; 4 ЗНСОз Nat 5 Na Proximal tubules Hypopara-thyroidism Aldosteronet 7 Liver failure Urea Distal nephron NH4 Cys •- Met
dissociated fatty acids ... deficiency 8 Arg ... 个个 [H*] PrH pH ... [HC03] >7.45 #Alkalosis
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
#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 ... 2)| Metabolic Alkalosis ... 50mmHg (acute I pH ... on FIO2 < 50% pH
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