Metabolic Acidosis - CRASH! Medical Review Series

(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

[@yuedanzhou1985]

Thank you Paul, for all your videos, I also had similar confusion (many ways of explaining, but never very synthesised). Especially that your video are ALL very clear. Thank you so very much.

[@uttamkumar097]

great work paul keep it up....

[@sadi2380]

great explanation !

[@Aangel452]

Fabulous clear informative diagnosis of the differing causes/ triggers for acidosis. Thank you

[@mohiuddinalfarra5440]

simple and clear explanation... thank you.

[@LydiaiIta]

You're awesome. great video.

[@abdullahimohamed1568]

Love your videos

[@aravindhsrini6410]

Excellent class sir, I understood better.great job.

[@TK-ok4ye]

Awesome!

[@sja7445]

Anion Gap = (Na) - (HCO3 +Cl)**

[@AM-bj7yo]

you can calculate it both ways either with the addition of potassium to sodium or not, just keep in mind that if you do add potassium you will have a higher normal value for the anion gap for example less than 15 if you calculate it with sodium and potassium, and less than 12 if you calculate it without potassium, but both are valid.

[@romasajoyo4844]

best

[@theresageiger584]

I need a really good dr

[@user-gz7vf4vn9g]

I thought isopropanol caused a normal anion gap acidosis

[@theresageiger584]

Where is this dr

[@hossenwael-tz1rd]

Do you mean by D5 dextrose 5% solution

[@thomaslapsley8145]

With a EtOH of 364 in extreme metabolic acidosis would you start hemodialysis with a Hco3 injection and IV fomepizole? Is metadoxine the same as fomepizole? And these answer probably won't be answered cause not to many people answer my questions so, I'll ask this question which medical school and program residency has the most east asian women?

[@xDomglmao]

Will ask my professor on Tuesday about the hemodialysis.
EDIT: 364's units?

[@xDomglmao]

I rethought your question. I guess you are talking about methanol intoxication (bcs ethanol intoxication treatment is written here and has nothing to do with fomepizole: www.healthline.com/health/alcohol-intoxication#treatment)
So suppose the patient has a methanol intox, what I would do (didn't have the emergency rotation yet) => IVFl+ i.v. fomepizole + hemodialysis + add HCO3- and try to find the underlying cause of the extreme metabolic acidosis; also, since the patient has extreme metabolic acidosis, probably will have trouble breathing, so give O2.
Also, metadoxine is not the same as fomepizole. According to wiki metadoxine can be used in ethanol intox (faster breakdown of ethanol), while fomepizole blocks the transformation of methanol into its toxic metabolites (alc. dehydrogenase inhibitor => guess that's why hemodialysis is needed).

[@theresageiger584]

I have infections everywhere

[@Surgtari]

I got headache :)

[@theresageiger584]

I'm dying because of all this
Please help me please

[@dotoverheard]

I hope you're okay?