Metabolic Acidosis

Normal Anion Gap Metabolic Acidosis: HARD ASS What is the second A?

Acetazolamide --Inhibit the reabsorption of HCO3- in the proximal tubule

Normal Anion Gap Metabolic Acidosis: HARD ASS What is the first A?

Addison's disease

Normal Anion Gap Metabolic Acidosis: HARD ASS The first A is Addison's disease. How does this cause metabolic acidosis?

Can't make aldosterone --Can't excrete H+ in the collecting tubules

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is D?

Diabetic ketoacidosis --Excess ketoacids --Not Cl = increased anion gap

Normal Anion Gap Metabolic Acidosis: HARD ASS What is D?

Diarrhea --Losing HCO3 in diarrhea

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is E?

Ethylene glycol --Oxalic acid --Not Cl = increased anion gap

What is the mnemonic of normal anion gap metabolic acidosis?

HARD ASS

Normal Anion Gap Metabolic Acidosis: HARD ASS What is H?

Hyperalimentation --Eating tons of food

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is I?

Iron and INH --Not Cl = increased anion gap

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is L?

Lactic acidosis --Not Cl = increased anion gap

What is the mnemonic for increased anion gap metabolic acidosis?

MUDPILES

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is M?

Methanol --Gets metabolized into formic acid --Not Cl = increased anion gap

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is P?

Propylene glycol --Type of alcohol --Not Cl = increased anion gap

Normal Anion Gap Metabolic Acidosis: HARD ASS R is Renal tubular acidosis. What are the different types?

Proximal = Type 2 --Can't reabsorb HCO3 in proximal tubule Distal = Type 1 --Can't secrete H+ in distal tubule --Can't acidify urine = pH > 5.5 Hyperkalemic = Type 4 --Can't respond to aldosterone --Can't secrete K+ = hyperkalemia

Normal Anion Gap Metabolic Acidosis: HARD ASS What is R?

Renal tubular acidosis

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is S?

Salicylate poisoning --Salicylic acid --Not Cl = increased anion gap

Normal Anion Gap Metabolic Acidosis: HARD ASS What is the second S?

Saline infusion --Saline will WORSEN a metabolic acidosis

Normal Anion Gap Metabolic Acidosis: HARD ASS What is the first S?

Spironolactone --Block the effects of aldosterone --Can't secrete H+

Increased Anion Gap Metabolic Acidosis: MUDPILES -What is U?

Uremia --Excess urea --Not Cl = increased anion gap