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diagnosis differential acidosis disorders acidbase base bloodgas interpretation nephrology acutekidneyinjury algorithm causes comparison effects endocrinology evaluation gas icucard ketones ketosis
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 ... Ketoacidosis, Renal
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... ABG And BMP Normal ... - Diarrhea - Renal ... Summary #Nephrology #ABG ... #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
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
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
lactate NOT lactic acid ... Saline Causes AKI ... filtration - Renal ... blood flow and renal ... Instability: - Renal
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
consequence of fatty acid ... ketoacidosis (AKA ... gap acidosis (pH ... blood glucose (BG ... marked increase in BG
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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