Consider Hyperchloremic Metabolic Acidosis to be a Renal Tubular Acidosis Until Proven Otherwise if Obvious Sources of Bicarbonate Losses Like Diarrhea, Urinary Diversions, and the Administration of Chloride are not…
Consider Excess Chloride as a Cause of an Unexplained Non-Anion-Gap Metabolic Acidosis Anthony D. Slonim MD, DrPH Metabolic acidosis is traditionally classified into an elevated anion-gap metabolic acidosis or a…
Do Not Replete Calcium in Rhabdomyolysis Unless a Patient is in Tetany Anthony D. Slonim MD, DrPH Rhabdomyolysis is a condition that is associated with the destruction of skeletal muscle….
Keep the Serum Potassium at High or Normal Levels When Attempting to Correct a Metabolic Alkalosis Eric S. Weiss MD Case A 45-year-old attorney travels to the Caribbean islands for…
Consider Electrolyte Disturbances When There is a Change of Mental Status Nirav G. Shah MD Toxic-metabolic encephalopathy results in a change of mental status and is a common diagnosis in…
Check Postoperative and Serial Serum Levels of Phosphorus and Aggressively Replete Robert K. Michaels MD, MPH Phosphate (PO4) is a trivalent anion that is most notable for the energy-rich bonds…
Do not Replete Calcium in the Setting of High Phosphorus or Phosphorus in the Setting of High Calcium Praveen Kalra MD Mehmet S. Ozcan MD Calciphylaxis is an unusual condition…
Remember that Uremia Alone Rarely Causes An Anion Gap to be Greater Than Laith R. Altaweel MD The serum anion gap (AG) is an important tool in assessing the acid-base…
Be Careful to Not Overhydrate Postoperative Liver-Transplant Patients Dorry L. Segev MD Warren R. Maley MD The resuscitation of patients immediately following a liver transplant is similar in concept to…
Do not use Urine Output as a Measure of Volume Status in Patients who are Cold Juan N. Pulido MD Daniel R. Brown MD, PhD Hypothermia is a clinical entity…
