Podcast 684: Acidosis

Podcast 684: Acidosis

Contributor: Nick Tsipis, MD

Educational Pearls:

  • pH <7.35 = acidemia; pH>7.45=alkalemia
  • If pH low and pCO2 high, indicates a respiratory acidosis
  • If pH low and pCO2 low, indicates metabolic acidosis
  • After determining type of acidosis, check bicarb to determine compensation for acidosis and check electrolytes to calculate anion gap
  • Metabolic acidosis can present with tachypnea (Kussmaul breathing) and hypotension due to loss of catecholamine function and suboptimal cardiac function at low pH
  • Treat with IV fluids and address the underlying cause, limited role for bicarb

References

Burger MK, Schaller DJ. Metabolic Acidosis. [Updated 2020 Nov 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan.

Cadogan M. Acid Base Disorders. Life in the Fast Lane • LITFL. https://litfl.com/acid-base-disorders/. Published November 3, 2020. Accessed June 23, 2021.

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.

Donate to EMM today!

Jaksot(1145)

Podcast 709: Clown Therapy

Podcast 709: Clown Therapy

Contributor: Jared Scott, MD Educational Pearls: Using LET, procedural sedation, and distraction techniques are often needed to successfully perform painful procedures in pediatrics patients The tech...

30 Elo 20214min

Podcast 708: Diagnostic Paracentesis

Podcast 708: Diagnostic Paracentesis

Contributor: Peter Bakes, MD Educational Pearls: Paracentesis is a procedure where fluid is removed from the peritoneal cavity by needle Indications for paracentesis include: large volume paracentesi...

24 Elo 20215min

Podcast 707: Sigmoid Volvulus

Podcast 707: Sigmoid Volvulus

Contributor: Aaron Lessen, MD Educational Pearls: Sigmoid volvulus occurs when the sigmoid colon twists 180 to 360 degrees 10% of intestinal obstructions in the US; 50-70% of intestinal obstructions ...

23 Elo 20213min

Podcast 706: Pepper Spray Decon

Podcast 706: Pepper Spray Decon

Contributor: Ramnik Dhaliwal, MD JD Educational Pearls: Pepper spray is a highly irritating compound with active ingredient of capsaicin Techniques to help decontaminate and alleviate symptoms of an ...

18 Elo 20213min

Podcast 705: Pyloric Stenosis

Podcast 705: Pyloric Stenosis

Contributor: Neil Cella, MD Educational Pearls: Pylorus becomes hypertrophied and does not allow food or liquid to pass through to the duodenum tOccurs between the ages of 3 weeks to 3 months Classic...

17 Elo 20214min

Podcast 704: Treatment of Pneumothorax

Podcast 704: Treatment of Pneumothorax

Contributor: Adam Barkin, MD Educational Pearls: Multi-center open-label non-inferiority trial looked at treatment of pneumothorax with a small-bore chest tube versus conservative management with exc...

16 Elo 20215min

Mental Health Monthly #8: Trauma-Informed Care

Mental Health Monthly #8: Trauma-Informed Care

Contributor: Randi Libbon, MD The Core features of trauma-informed care include: Patient empowerment, choice and collaboration. This means educating patients and allowing patients to make choices abo...

11 Elo 20219min

Podcast 703: Fever in Infants

Podcast 703: Fever in Infants

Contributor: Neil Cella, MD  Educational Pearls: 10% of patients 100.4) have an serious bacterial infection Most of these are UTIs, but also consider pneumonia and meningitis Requires CXR, LP, lab...

10 Elo 20215min

Suosittua kategoriassa Tiede

tiedekulma-podcast
rss-mita-tulisi-tietaa
rss-poliisin-mieli
docemilia
rss-duodecim-lehti
rss-sosiopodi
radio-antro
filocast-filosofian-perusteet
rss-ammamafia
utelias-mieli
mielipaivakirja
rss-bios-podcast
rss-astetta-parempi-elama-podcast
rss-tiedetta-vai-tarinaa
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita