68 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Values • pH: ... Alkalemia: • pH ... salicylates) R Renal ... - Diarrhea - Renal ... acidosis/Chronic renal
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
NAGMA - Chem, ABG ... or VBG - Calculate ... UA with urine pH ... in the urine - Renal ... Renal Loss of HCO3
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
approximates an ABG ... adding ~0.05 to pH ... Ketoacidosis, Renal ... loss of bicarb, Renal ... GI loss of H+, Renal
Common ultrasound abnormalities seen on kidney and urinary bladder POCUS

- Dr. Abhilash Koratala MD - NephroPOCUS
Common ultrasound ... kidney and urinary bladder ... NephroP #kidney #bladder ... diagnosis #pocus #ultrasound ... #renal #clinical
Proximal Renal Tubular Acidosis (RTA) Ttype 2 Overview

HCO3 reabsorptive failure
Lowering of threshold for HCO3 absorption in
Proximal Renal Tubular ... intact Can lower pH ... Proximal #Diagnosis #Management
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 ... - 45% - Pre-renal ... mostly ATN and pre-renal
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
poor air flow • ABG ... High pCO2 / low pH ... Abnormally normal ABG ... ventilation #mechanical #management
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary

Symptoms:
• Abdominal pain
• Nausea
• Polyuria
• Polydipsia
• Vomiting
• Weight loss
•
Diagnosis and Management ... > 18 mEq/L 2) pH ... > 7.3 3) AG < ... Ketoacidosis #Diagnosis #Management
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Cannot lower pH ... Distal #Diagnosis #Management
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary

Symptoms:
• Abdominal pain
• Nausea
• Polyuria
• Polydipsia
• Vomiting
• Weight loss
•
Diagnosis and Management ... > 18 mEq/L 2) pH ... > 7.3 3) AG < ... Ketoacidosis #Diagnosis #Management