12 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... ABG And BMP Normal ... - Differential Diagnosis ... Summary #Nephrology #ABG ... #bloodgas #Acid
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 ... an ABG by adding ... ~0.05 to pH and ... Disorders #Evaluation #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 ... need to do more work ... AmyChung #AcidBase #ABG ... #Diagnosis
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 ... Alkalosis - “BLVD ... nickmmark #acidbase #workup ... #algorithm #diagnosis
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... Framework and Workup ... NAGMA - Chem, ABG ... NonAnionGap #Acidosis #Metabolic ... #Workup #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
- Diarrhea pH ... Metabolic alkalosis ... Renal artery stenosis ... Differential #Algorithm #Diagnosis ... #Causes #Workup
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Beta-Agonists, ↑ work ... PRIS), Valproic Acid ... liver Failure, Renal ... Inborn Errors of Metabolism ... • Presents as AG
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
and Workup Blood ... Work: - Hypokalemia ... Hypomagnesemia - Metabolic ... Alkalosis - Elevated ... Ultrasound - No
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
Demineralization 3 Lactate ... dissociated fatty acids ... Metabolism Ht consumptiont ... 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
Lactate, dissociated ... Metabolism H formationt ... Proximal tubule Renal ... Hypoaldo- steronism Arg ... 8 [Co] HO pH