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Critical Care Time
19. Metabolic Acidosis w/ NephMadness
Mar 15, 2024
Explore metabolic acidosis in critically ill patients with a focus on acid/base derangements, working up, and treating in the ICU. Learn about the similarities between Spanx and sodium bicarb, and gain insights on diagnosing and managing metabolic acidosis, including bicarbonate measurements, urine potassium significance, and renal replacement therapy modalities.
01:15:55
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Quick takeaways
- Identifying anion gap and non-anion gap metabolic acidosis using mnemonics aids in differential diagnosis.
- Timely treatment initiation for severe metabolic acidosis with pH levels below 7.2 is crucial for patient outcomes.
Deep dives
Approaching Acid-Based Disorders in ICU Patients
In ICU patients presenting with metabolic acidosis, it is crucial to assess both the anion gap metabolic acidosis and non-anion gap metabolic acidosis. Mnemonics like GOLDMARK for identifying anion gap disorders and RAGUS for non-anion gap disorders can aid in differential diagnosis. Recognizing patterns from labs and history, like toxic ingestions, cancer-related lactic acidosis, malnutrition, and renal failure, can guide targeted investigations.
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Discover
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Listen to the best highlights from the podcasts you love and dive into the full episode