Discover and read the best of Twitter Threads about #acidbase
Most recents (2)
1/15 Hey #medtwitter! Have you caught our latest case for the month of April??Check it out 👉🏼
renalfellow.org/2021/04/23/ske…
🏁🏁Let’s Fill in the Gap together with a #tweetorial !
#NMSC #Nephtwitter #FOAMED @TheskeletonKG @NSMCInternship
#covid19 #acidbase
renalfellow.org/2021/04/23/ske…
🏁🏁Let’s Fill in the Gap together with a #tweetorial !
#NMSC #Nephtwitter #FOAMED @TheskeletonKG @NSMCInternship
#covid19 #acidbase
2/15
A 50-year-old man with DM on oral medications presented with respiratory distress and shock. He was diagnosed with #COVID-19 and ARDS requiring intubation. Labs are shown below 👇🏼
🤔🧐
🛑What would be your next step❓❓❓
A 50-year-old man with DM on oral medications presented with respiratory distress and shock. He was diagnosed with #COVID-19 and ARDS requiring intubation. Labs are shown below 👇🏼
🤔🧐
🛑What would be your next step❓❓❓
3/15 You order an ABG:
ABG:
pH 7.14
pCO2 38.8 mmHg
pO2 80 mmHg
Bicarbonate: 16 mmol/L
My Approach:
⚡️pH acidemic or alkalemic ?
⚡️pCO2 respiratory or metabolic?
nephsim.com/acid-base/ h/t @jadav_md for the infographic
ABG:
pH 7.14
pCO2 38.8 mmHg
pO2 80 mmHg
Bicarbonate: 16 mmol/L
My Approach:
⚡️pH acidemic or alkalemic ?
⚡️pCO2 respiratory or metabolic?
nephsim.com/acid-base/ h/t @jadav_md for the infographic
1/
In this #tweetorial, we'll walk through our approach to uncovering #acidbase disorders & our mnemonic #pLACO using this example:
pH 7.28, pCO2 30, pO2 75
Na 145, Cl 103, HCO3 18
Albumin 4 mg/dL
nephsim.com/acid-base/
Step 1: what does the "p" in pLACO stand for?
In this #tweetorial, we'll walk through our approach to uncovering #acidbase disorders & our mnemonic #pLACO using this example:
pH 7.28, pCO2 30, pO2 75
Na 145, Cl 103, HCO3 18
Albumin 4 mg/dL
nephsim.com/acid-base/
Step 1: what does the "p" in pLACO stand for?
2/
#pLACO
The p is for pH, which tells us how acidic/basic a solution is.
Normal arterial blood pH is 7.4. Anything less than that is acidEMIC and anything greater is alkalEMIC.
In our example, the pH is 7.28. Thus, we have an acidemia.
nephsim.com/acid-base/
#pLACO
The p is for pH, which tells us how acidic/basic a solution is.
Normal arterial blood pH is 7.4. Anything less than that is acidEMIC and anything greater is alkalEMIC.
In our example, the pH is 7.28. Thus, we have an acidemia.
nephsim.com/acid-base/
3/
#pLACO
Step 2: The "L" stands for ✅ labs (pCO2, HCO3).
In our example, the pCO2 is ⬇️ ( normal = 40 mm Hg). The bicarbonate is also ⬇️ (normal = 24 meq/L).
Acidemia and ⬇️bicarbonate suggest that the PRIMARY process is a metabolic acidosis.
nephsim.com/acid-base/
#pLACO
Step 2: The "L" stands for ✅ labs (pCO2, HCO3).
In our example, the pCO2 is ⬇️ ( normal = 40 mm Hg). The bicarbonate is also ⬇️ (normal = 24 meq/L).
Acidemia and ⬇️bicarbonate suggest that the PRIMARY process is a metabolic acidosis.
nephsim.com/acid-base/
