Metabolic acidosis: Difference between revisions

Revision as of 20:04, 2 March 2011

1. Gap

2. Non-gap

1) Bicarb <4

2) pH <7.20 + Sx shock/myocardial irritability

3) Severe hyperchloremic acidemia + Sx shock/myocardial irritability

2/21/06 DONALDSON (adapted from Tintinalli)

Authors:

@@ Line 1: / Line 1: @@
-==DDX==
+==Types==
+. Gap
-I. GAP
+* Lactic acidosis
-) Lactic acidosis
+* Renal failure
-) Renal failure
+* Ketoacidosis
+** DM
+** ETOH
+** Starvation
+** High fat diet
+* Tox ingestion
+** Inc osm gap
+*** Methanol
+*** Ethylene glycol
+** Nl osm gap
+*** Salicylate
+*** Paraldehyde
+*** Cyanide
-) Ketoacidosis
+. Non-gap
+* Hyperkalemia
-          a) DM
+** Resolving DKA
+** Early uremic acidosis
-          b) ETOH
+** Early obstructive
+** RTA Type IV
-          c) Starvation
+** Hypoaldo
+** K-sparing diuretics
-          d) High fat diet
+* Hypokalemia
+** RTA Type I
-) Tox ingestion
+** RTA Type II
+** Acetazolamide
-          a) Inc osm gap
+** Acute diarrhea
-               i) Methanol
-               ii) Ethylene glycol
-          b) Nl osm gap
-               i) Salicylate
-               ii) Paraldehyde
-               iii) Cyanide
-II. NON-GAP
-) Tendancy hyperKalemia
-          a) Resolving DKA
-          b) Early uremic acidosis
-          c) Early obstructive
-          d) RTA Type IV
-          f) Hypoaldo
-          g) K-sparing diuretics
-) Tendancy hypoKalemia
-          a) RTA Type I
-          b) RTA Type II
-          c) Acetazolamide
-          d) Acute diarrhea
 ==Treatment==