Acid-Base Diagnosis & Clinical Approach with Dr. Bill Bortcosh--Part 2

Dr. Bill Bortcosh received his Doctorate of Medicine from Albany Medical School, NY. He completed his pediatric residency at the University of Massachusetts Medical School followed by pediatric critical care fellowship at Massachusetts General Hospital.
Learning Objectives:

By the end of this podcast series, listeners should be able to discuss:

1. Why critical evaluation of a patient’s acid-base status can be useful and practical in the acute care setting
2. The basic pathophysiology of each acid-base disturbance
3. The definition of an anion gap and how to use it as a screening tool
4. The use of Winter’s formula to identify a respiratory acidosis or alkalosis
5. The utility of the delta-delta to identify additional metabolic acidosis or alkalosis

Link to Acid/Base Handout

References

1. Carmody JB, Norwood VF. A clinical approach to paediatric acid-base disorders. Postgrad Med J. 2012;88(1037):143-51.

2. Carmody JB, Norwood VF. Paediatric acid-base disorders: A case-based review of procedures and pitfalls. Paediatr Child Health. 2013;18(1):29-32.

3. Emmett M. Approach to the Patient With a Negative Anion Gap. Am J Kidney Dis. 2016;67(1):143-50.

4. Luke RG, Galla JH. It is chloride depletion alkalosis, not contraction alkalosis. J Am Soc Nephrol. 2012;23(2):204-7.

5. https://emcrit.org/ibcc/salicylates/