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October 6, 2012 METABOLIC DISORDERS 
jshdglkjkasdlkfjs 
HCO3 
Decreased 
pH 
Low 
Metabolic 
Acidosis 
Anion Gap 
Elevated 
Osmolal gap 
Elevated 
Consider 
Ethylene 
Glycol or 
Methanol 
Normal 
Consider Ketoacidosis, 
Lactic Acidosis, Renal 
Failure, ASA Toxicity 
Normal 
Urine Anion 
Gap 
Negative 
Extra Renal 
Cause 
Respiratory 
Alkalosis 
Postive 
High 
Renal Cause 
Pulmonary 
Vasculature 
Disease 
Pulmonary 
Parenchymal 
Disease 
Hyperventilati 
on 
Elevated 
pH 
Low 
Respiratory 
Acidosis 
Hypoventilatio 
n 
CNS 
Depression 
Respiratory 
Muscle 
Weakness 
Airway 
Obstruction V/Q Mismatch 
High 
Metabolic 
AlkalosisUrine 
Chloride 
<20 mEq/L 
Chloride 
Responsive 
Gastrointestina 
l Loss Renal Loss 
Alkali 
Administration 
Contraction 
Alkalosis 
>20 mEq/L 
Chloride 
Resistant 
Hyperaldoster 
onism 
Zebras 
Call 
Nephrology
October 6, 2012 METABOLIC DISORDERS

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  • 1. October 6, 2012 METABOLIC DISORDERS jshdglkjkasdlkfjs HCO3 Decreased pH Low Metabolic Acidosis Anion Gap Elevated Osmolal gap Elevated Consider Ethylene Glycol or Methanol Normal Consider Ketoacidosis, Lactic Acidosis, Renal Failure, ASA Toxicity Normal Urine Anion Gap Negative Extra Renal Cause Respiratory Alkalosis Postive High Renal Cause Pulmonary Vasculature Disease Pulmonary Parenchymal Disease Hyperventilati on Elevated pH Low Respiratory Acidosis Hypoventilatio n CNS Depression Respiratory Muscle Weakness Airway Obstruction V/Q Mismatch High Metabolic AlkalosisUrine Chloride <20 mEq/L Chloride Responsive Gastrointestina l Loss Renal Loss Alkali Administration Contraction Alkalosis >20 mEq/L Chloride Resistant Hyperaldoster onism Zebras Call Nephrology
  • 2. October 6, 2012 METABOLIC DISORDERS