ICU Vivas · Acid–base
Clinical viva — your approach to the patient with a metabolic acidosis
A clinical viva on the structured approach to a metabolic acidosis — the systematic blood-gas method, the anion-gap subdivision with the GOLD MARK differential, the recognition of mixed disorders, and the principle of treating the cause with the evidence-based role of bicarbonate, balanced crystalloids and renal replacement therapy.
On this page
Study tools
Target exams
CICMFFICMEDIC
Prompt
A clinical viva on the structured approach to a metabolic acidosis — the systematic blood-gas method, the anion-gap subdivision with the GOLD MARK differential, the recognition of mixed disorders, and the principle of treating the cause with the evidence-based role of bicarbonate, balanced crystalloids and renal replacement therapy.
The question
"Take me through your approach to a patient who is found to have a metabolic acidosis."[4]
References4ShowHide
- [1]Adrogué HJ, Madias NE. Management of life-threatening acid-base disorders. First of two parts. New England Journal of Medicine, 1998.PMID 9414329
- [2]Kraut JA, Madias NE. Lactic acidosis. New England Journal of Medicine, 2014.PMID 25494270
- [3]Kraut JA, Kurtz I. Toxic alcohol ingestions: clinical features, diagnosis, and management. Clinical Journal of the American Society of Nephrology, 2008.PMID 18045860
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.