Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Complex Acid-Base Disorders/Cases You Must Know How to Manage

Complex Acid-Base Disorders/Cases You Must Know How to Manage

Video Transcription

Video Summary

The lecture discusses complex acid-base disorders, covering metabolic and respiratory causes, such as acidosis and alkalosis. It emphasizes the balance between acid production and excretion, highlighting that failures in excretion can lead to acidemia. Assessment includes thorough patient history and physical examination, alongside crucial lab values like pH and anion gap. Various causes of acidosis are discussed, including lactic acidosis (common in ICU settings), ketoacidosis, starvation ketosis, and drug-induced ketoacidosis. The importance of albumin levels in determining the anion gap is stressed, along with the role of lactate in metabolic processes. Management strategies include fluids, electrolytes, and specific treatments depending on the condition. The lecture concludes with remarks on respiratory acidosis and the interplay between respiratory and metabolic disturbances, stressing the importance of identifying underlying causes and appropriate interventions.

Keywords

acid-base disorders

acidosis

anion gap

ketoacidosis

respiratory acidosis

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