9 results
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 ... final step is to assess
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
Bladder Air secondary to Colovesical Fistula on POCUS

40's male with fever, low abd pain, cloudy urine/bubbles.
Colovesical Fistula on POCUS ... with fever, low abd ... with diverticular abscess ... #Air #POCUS #clinical ... #ultrasound #Sagittal
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
on POCUS Fever, ... BP with lower abd ... to the urinary bladder ... #POCUS #clinical ... #Abdominal #Ultrasound
Renal Abscess on POCUS
Left flank pain. On ABX Day 5 for pyelo. She has hx of
Renal Abscess on ... POCUS Left flank ... On ABX Day 5 for ... #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
, acetic acids, ... Proximal tubule Renal ... Hypoaldo- steronism Arg ... 8 [Co] HO pH ... [CO,] <7.35 #Acidosis
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
crusade against “Ab ... this post will focus ... leads to Metabolic Acidosis ... Metabolic Acidosis ... against the drop in 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 ... 9 Respiratory Acidosis ... 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 ... #clinical #ultrasound