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!

Avsnitt(1148)

Podcast #189: Caffeine

Podcast #189: Caffeine

Author: Donald Stader M.D. Educational Pearls: Coffee originates from Ethiopia. Its "active ingredient" is caffeine. Caffeine is a xanthine alkaloid used in medicine to control headache and as a neo...

12 Apr 20173min

Podcast #188: Monoarthritis

Podcast #188: Monoarthritis

Author: Peter Bakes M.D. Educational Pearls: Some common causes of monoarticular arthritis include: crystal arthropathies (gout and pseudogout), infection (septic joint), reactive arthritis and acute...

10 Apr 20175min

Podcast #187: Mumps

Podcast #187: Mumps

Author: Gretchen Hinson M.D. Educational Pearls: The key imaging of a mumps patient is "chipmunk cheeks" or parotitis. The swelling can extend almost to the ears and can be extremely painful - in abo...

29 Mars 20174min

Podcast #186: IV Contrast

Podcast #186: IV Contrast

Author: Aaron Lessen M.D. Educational Pearls: Regularly a patient's creatinine level is an important factor in determining whether a patient will receive IV contrast with a CT because it is thought t...

21 Mars 20172min

Deep Dive #1: Travel Medicine

Deep Dive #1: Travel Medicine

Author: Peter Bakes M.D. Dr. Peter Bakes takes us through how he developed his interest in travel medicine as well as some of the more interesting aspects of the specialty.

11 Mars 201732min

Neuromuscular Blocking Agents

Neuromuscular Blocking Agents

Author: Peter Bakes Educational Pearls: The Neuromuscular Junction (NMJ) is a neuronal synapse in skeletal muscle mediated by nicotinic acetylcholine receptors. Paralytic agents, commonly used in the...

10 Mars 20174min

Syncope and PE

Syncope and PE

There are many causes of syncope and a pulmonary embolism may be a commonly missed reason.

6 Feb 20173min

Electrolyte Emergency

Electrolyte Emergency

Electrolytes it's what your bodies crave.

3 Feb 20175min

Populärt inom Vetenskap

dumma-manniskor
svd-nyhetsartiklar
p3-dystopia
allt-du-velat-veta
kapitalet-en-podd-om-ekonomi
rss-ufo-bortom-rimligt-tvivel
rss-vetenskapsradion-2
det-morka-psyket
rss-vetenskapsradion
medicinvetarna
bildningspodden
sexet
rss-geopodden-2
vetenskapsradion
rss-experimentet
4health-med-anna-sparre
halsorevolutionen
rss-spraket
rss-arkeologi-historia-podden-som-graver-i-vart-kulturlandskap
hacka-livet