Metabolic acidosis: Essential facts that very few teaches!

Описание к видео Metabolic acidosis: Essential facts that very few teaches!

How to approach and treat metabolic acidosis is the topic of this video, we will discuss how to diagnose metabolic acidosis, and how to differentiate between high anion gap metabolic acidosis and normal anion gap metabolic acidosis, the presence of anion gap means the presence of high anion gap metabolic acidosis regardless of arterial PH or serum bicarb.
We will discuss how to calculate the anion gap and the delta-delta to check if there is any associated normal anion gap metabolic acidosis or metabolic alkalosis along with high anion gap metabolic acidosis.

I will finish by discussing the treatment of high anion gap and normal anion gap metabolic acidosis and the use of bicarb (NaHCO3) drip and pushes in metabolic acidosis.


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Chapters:
0:00 Introduction
0:13 Metabolic acidosis pathophysiology
01:06 Anion gap
01:43 Serum bicarb level
01:57 Causes of high anion gap vs normal anion gap metabolic acidosis.
03:45 Examples of calculating anion gap
04:47 The diagnosis of metabolic acidosis.
04:59 The presence of elevated anion gap and metabolic acidosis.
05:46 The association of high anion gap metabolic acidosis and normal anion gap metabolic acidosis or metabolic alkalosis.
07:43 How to calculate the delta-delta in high anion gap metabolic acidosis.
09:23 Checking the adequacy of respiratory compensation for metabolic acidosis
09:47 The use of arterial blood gas (ABG) in metabolic acidosis
10:10 Monitoring patients with metabolic acidosis.
11:11 Critically ill patients with severe metabolic acidosis.
12:17 The treatment of metabolic acidosis.
12:45 Bicarb (NaHCO3) drip and pushes.
13:43 The use of Bicatb (NaHCO3) in high anion gap metabolic acidosis.
14:58 The use of Bicatb (NaHCO3) in normal anion gap metabolic acidosis.

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