17 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 ... Disorders #Evaluation #workup
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
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap Acidosis ... Framework and Workup ... NAGMA - Chem, ABG ... Tubular Acidosis ... Differential #Diagnosis #Workup
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 ... Look at the pH 2 ... need to do more work ... AmyChung #AcidBase #ABG
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Acid Base and Blood ... Gas Analysis 1. pH ... Respiratory Acidosis ... gap metabolic acidosis ... nickmmark #acidbase #workup
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
lactate NOT lactic acid ... filtration - Renal ... stretch - decreased renal ... blood flow and renal ... Instability: - Renal
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Differential Algorithm Acidosis ... - Diarrhea pH ... Renal artery stenosis ... Diagnosis #Causes #Workup
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
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
by an anion gap acidosis ... consequence of fatty acid ... marked anion gap acidosis ... (pH < 7.35) w/ ... blood glucose (BG
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Beta-Agonists, ↑ work ... PRIS), Valproic Acid ... liver Failure, Renal ... • Presents as AG