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Renal-ICM
Acid-Base
9
Medical
Graduate
10/26/2010

Additional Medical Flashcards

 


 

Cards

Term
Compensation mechanisms for metabolic Acidosis
Definition

Hyper ventilation

HCO3 retention

HCO3 Production

NH4 Excretion

Term
What are some common causes of High Anion Gap Acidosis
Definition

Diabetic Ketoacidosis

Uremic Acidosis in Kidney Failure

Exogenous Poisoning

Lactic Acidosis

 

Term
What are some common causes of Non-Anion Gap Acidosis
Definition

Diarrhea

Tubular Acidosis

Milder Chronic Kidney Disease

Acetazolamide CA-Inhibitor

Term
Causes of Metabolic Alkalosis and the mechanism of each
Definition

Vomiting or Gastric loss: HCO3 production by parietal, and Cl loss leads to HCO3 resorption with Na or H+/K secretion

Diuretics: Na, Cl, K, water excretion w/o HCO3 excretion

Hyperaldosteronism: EnAC channels cause H+ secretion

Cushing's

Term
Consequences of metabolic alkalosis
Definition

Cerebral vasoconstriction

Respiratory Suppression

Term
Which of the common causes of Alkalosis present with low urinary chloride and which with high urinary chloride
Definition

High Chloride: Hyperaldosteronism/Cushings

Low Chloride: Vomiting, Diuretics

Term
Treatment of metabolic alkalosis
Definition

Saline with Chloride

Sometimes Infuse HCl or hemodialysis

 

Term
What is the expected compensation in Metabolic acidosis and alkalosis as well as respiratory acidosis and alkalosis
Definition

Metabolic Acidosis: Change in CO2 is 1.5 times the change in Bicarb

Metabolic Alkalosis: Change in CO2 is 0.6 times the change in bicarb

Respiratory Acidosis: Bicarb changes 3.5 times the change in CO2

Respiratory Alkalosis: Bicarb changes 4 times the change in CO2

Term
What are the symptoms of acidosis
Definition

Decrease Contractility

Bone buffering

Tissue Breakdown

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