Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Renal - ABIM

Metabolic Acidosis / Acid Base

QuestionAnswer
Mnemonic for metabolic acidosis MUDPILERS - methanol (osm gap > 25); uremia; DKA/AKA/Starvation ketoacidosis; Paraldehyde / Propylene in lorazepam gtt; INH / Iron OD/ Infection; Lactic acid (meformin); Ethylene glycol (antifreeze, osm gap > 25); Rhabdo; Salicylate/ASA/NSAIDs
What is the characteristic acid-base pattern for salicylate poisoning? Anion gap metabolic acidosis with respiratory alkalosis due to hyperventilation
Mnemonic for non AG metabolic acidosis HARD IT UP - Hyperalimentation (TPN); Acetazolamide; RTA; Diarrhea; Isopropyl alcohol; Toluene; Uretero-sigmoid fistula (GI wasting HCO3-); Pancreatic fistula (pancreas secreting HCO3-)
Which ingestions have a smaller gap greater than 10? IMEEP - Isopropyl EtOH; Methanol; Ethylene glycol; Ethanol; Propylene glycol (lorazepam gtt)
What is the formula for calculation of serum osm? 2(Na) + gluc/18 + BUN/2.8
What is the formula for osm gap? measured - calculated. If >20, fomepizole. If > 50, then HD and fomepizole.
Formula for respiratory compensation in metabolic acidosis = 1.5 (HCO3-) + 8 +/- 2
Formula for respiratory compensation in metabolic alkalosis = 40 + (0.7) (24-HCO3-)
Formula for metabolic compensation in respiratory acidosis Acute: for every 10 increase in pCO2 --> 1 inc of HCO3- Chronic: for every 10 increase in pCO2 --> 3.5 inc of HCO3-
Formula for metabolic compensation in respiratory alkalosis Acute: for every 10 dec in pCO2 --> 2 dec of HCO3- Chronic: for every 10 dec in pCO2 --> 5 dec of HCO3-
Formula for anion gap = Na - (Cl+HCO3). Normal is 12 or lower.
Formula for gap gap corrected HCO3 = (AG - 12) + measured HCO3. If <22 then additional metabolic acidosis. If > 26 then additional metabolic alkalosis
What should you check before you calculate the gap gap? Check that albumin is normal. If albumin is low, for every 1 g decrease in albumin, increase the change in AG (the result of AG-12) by 2.5
Created by: christinapham
Popular USMLE sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards