2024年6月29日 · Uremic AGMA: Traditionally, bicarbonate has been used to support the pH in efforts to stave off dialysis. The BICAR-ICU trial supported the concept of using bicarbonate in uremic metabolic acidosis (with a goal of reducing the requirement for dialysis). Other causes of AGMA (e.g. hyperlactatemia or diabetic ketoacidosis)

2020年11月3日 · Normal anion gap metabolic acidosis. U – Ureteric diversion S – Small bowel fistula E – Extra chloride (ED resuscitation) or HCl ingestion D – DKA (resolving) C – Carbonic anhydrase inhibitors A – Addisons (Type 4 RTA) R – Renal tubular acidosis types 1, 2, and 4 P – Pancreatic fistula Increased anion gap metabolic acidosis. M – Methanol (formic acid), metformin

2023年8月7日 · High anion gap metabolic acidosis (HAGMA) is a type of metabolic acidosis. Differentiation of acidosis into a particular subtype, whether high anion gap metabolic acidosis or non-anion gap metabolic acidosis aids in the determination …

2020年11月3日 · albumin is the major unmeasured anion and contributes almost the whole of the value of the anion gap. a normally high anion gap acidosis in a patient with hypoalbuminaemia may appear as a normal anion gap acidosis. calculation of AG involves the measurement of electrolyte therefore is depends on the accuracy of measurement process.

Clinical Features. Compensatory respiratory tachypnea; Differential Diagnosis Anion gap metabolic acidosis. Lactic acidosis. Sepsis, shock, liver disease, CO, CN, metformin, methemoglobin; Short bowel syndrome; Propylene glycol infusions for lorazepam and phenobarbital; Renal failure

2020年11月3日 · Normal Anion Gap Metabolic Acidosis (NAGMA). HCO3 loss and replaced with Cl- -> anion gap normal. if hyponatraemia is present the plasma [Cl-] may be normal despite the presence of a normal anion gap acidosis -> this could be considered a 'relative hyperchloraemia'.

2024年7月1日 · Patient has normal anion gap with metabolic acidosis (bicarbonate < 22 mM). Patient has an anion gap metabolic acidosis, but the decrease in bicarbonate is much greater than the elevation in anion gap (indicating the combination of an anion-gap metabolic acidosis plus a non-anion-gap metabolic acidosis).

2) List a DDx for RespAcidosis, RespAlkalosis, MetAcidosis, MetAlkalosis RespAcidosis Respiratory acidosis occurs when hypoventilation leads to an inappropriately elevated Paco2 and resulting acidemia. Any condition that reduces minute ventilation may cause respiratory acidosis. It is the ACUTE resp. acidosis that kills!

2020年10月4日 · This OnePager outlines a stepwise approach and differential diagnosis for each acid base abnormality (RAGES for NAGMA, GOLDMARKeT for AGMA, BLVD PLACE for metabolic acidosis, etc). It also includes those handy formulas & rules so you can figure out if more than acid-base disturbance is present.

2023年7月24日 · Emergency clinicians must identify major acid-base disturbances and their underlying causes to prevent patient deterioration. The acid-base status is determined by laboratory studies.