Metabolic acidosis: Difference between revisions

Revision as of 05:07, 14 March 2011

Treat source

2/21/06 DONALDSON (adapted from Tintinalli)

Authors:

@@ Line 1: / Line 1: @@
-==Types==
+==DDX==
+===Gap===
+#Lactic acidosis
+#Renal failure
+#Ketoacidosis
+##DM
+##ETOH
+##Starvation
+##High fat diet
+#Tox ingestion
+##Inc osm gap
+###Methanol
+###Ethylene glycol
+##Nl osm gap
+### Salicylate
+###Paraldehyde
+###Cyanide
-. Gap
+===Non-gap===
+# Hyperkalemia
-* Lactic acidosis
+## Resolving DKA
+## Early uremic acidosis
-* Renal failure
+## Early obstructive
+## RTA Type IV
-* Ketoacidosis
+## Hypoaldo
-** DM
+## K-sparing diuretics
-** ETOH
+# Hypokalemia
-** Starvation
+## RTA Type I
-** High fat diet
+## RTA Type II
-* Tox ingestion
+## Acetazolamide
-** Inc osm gap
+## Acute diarrhea
-*** Methanol
+### (May be assoc with gap if hypoperfusion -> lactic acidosis)
-*** Ethylene glycol
-** Nl osm gap
-*** Salicylate
-*** Paraldehyde
-*** Cyanide
-. Non-gap
-* Hyperkalemia
-** Resolving DKA
-** Early uremic acidosis
-** Early obstructive
-** RTA Type IV
-** Hypoaldo
-** K-sparing diuretics
-* Hypokalemia
-** RTA Type I
-** RTA Type II
-** Acetazolamide
-** Acute diarrhea
-*** (May be assoc with gap if hypoperfusion -> lactic acidosis)
 ==Treatment==
+Treat source
 ===Bicarbonate Indications===
+#Bicarb <4
+#pH <7.20 + Sx shock/myocardial irritability
-) Bicarb <4
+#Severe hyperchloremic acidemia + Sx shock/myocardial irritability
-) pH <7.20 + Sx shock/myocardial irritability
-) Severe hyperchloremic acidemia + Sx shock/myocardial irritability
 ==Source ==
 /21/06 DONALDSON (adapted from Tintinalli)
 [[Category:FEN]]