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diagnosis differential nephrology abg acid acidbase base bicarbonate bloodgas disorders diuresis diuretics elevated excretion gas hypochloremia icucard interpretation medications pathophysiology
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... - Urinary Chloride ... • Cl- responsive ... Kidney loss of Cl ... #causes #urinary
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... loss of Cl- ... of Cl- outside ... #Urinary #Chloride
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl ... #Nephrology #Causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl ... #Primary #Metabolic
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... alkalosis - Fistulas ... • Fatigue Chloride ... may cause metabolic ... alkalosis #Hypochloremia
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
Alkalosis Urine ... Contraction Urine Cl ... Mineralocorticoid • Primary ... Barter, or Gitelman Syndrome ... #alkalosis #algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl ... #Nephrology #Causes
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
(AG) = {Na - (Cl ... D D-lactate (short ... bowel syndrome, ... Diarrhea - Renal tubular ... of Metabolic Alkalosis
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
resistance • Metabolic ... alkalosis • Familial ... Inhibitors of Na+K+2Cl ... Kidney stones caused ... insipidus • Primary
#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
mEq/L Na - (Cl ... (HCO3d-HCO3m) Metabolic ... Alkalosis ТНСО3 ... Distress Syndrome ... -2min Calcium chloride
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