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
