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Flashcards in Acid Base Deck (10):
1

Severe rebound HTN is with what med?

Clonidine

2

Diuretic ;ffect on acid base?

Met alk, b/c lose water, but not bicarb b/c its reabsorbed

3

hyperaldosteronism triad?

HTN, hypokalemia and met alkalosis

4

Normal anion gap?

8-12

5

Anion gap met acidosis?

MUDPILES

Methanol
Uremia
DKA or Drunk
Propylene glycol, Paraldehyde
Isoniazid or Iron
Lactic
Ethylene glycol
Salicylates

6

Salicylate affect of acid base?

Hyperventilation early on for resp alk

then lactic acidosis b/c uncoupling. SO MIXED

7

Normal anion gap met acidosis?

Diarrhea, RTA, TPN, hypoaldosteronism

8

Type 1 RTA causes what urine pH?

Type 1 for 1 proton
high pH b/c no H+ is secreted

Possible kidney stones

tx with bicarb and potassium and loops

9

Type 2 RTA is caused by what? What type of other problems associated with it??

2 is BIcarb (BI for 2) reabsorption

So urine pH is low-ish b/c enough protons get out

Bone lesions

tx sith potassium and bicarb and diuretic

10

Type 4 RTA is what?

Aldosterone deficiency

High POTASSIUM, so restrict it
Tx is K+ restrictionand fludricortisone

it is the only RTA that is causing high potassium (the rest are low b/c issues where shit is reabsorbed) WHICH IS IMPORTANT FOR TREATMENT