acid base balance dr ahmad mowafy revision updated

Acid Base Balance Dr . Ahmad Mowafy

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Acid base balance nephrology

Acid base balance

acid base balance

source

pre graduates Post graduates

source

arrhythmias

in capsule series

Acid base balance

Two organs PH

PH

Organs PH


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الرئة ... Lungاللي هو ال.... االول Organال

PH

PH

اللي هو العضو األساسي هو الكلية طبعا ... العضو التاني

two organs PH

control

lung Kidney

kidney Kidney PH

Lung Lung respiratory acidosis respiratory alkalosis

kidney Metabolic acidosis metabolic alkalosis

PH

Acidosis

PH

CO2

CO2 Acidosis

respiration wash CO2

CO2 CO2

Acidosis stimulation of respiratory centre

wash of CO2 CO2 Acidosis Alkalosis

Acidosis respiration deep and rapid wash CO2


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alkalosis

respiratory centers Inhibition

retention of CO2 CO2 Alkalosis

Lung respiration

Acid base balance

Acid base balance kidney

acid base balance kidney

Acid base balance

Acid base balanceحدوتة ال

4

hydrogen ions

HCO3

Acid base balance

H ions

HCO3

lumen tubules

Lumen urine

lumen tubules re absorption secretion

urine


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Urine

Urine

re absorption

♥♥♥

bicarbonate

reserve alkaline

Kidney

kidney

Hypokalemia

arrhythmias

H ions

hypo kalemia Alkalosis Hypo kalemia

hypo kalemia alkalosis

hydrogen ions

H ions


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H ions

H ions Hyper kalemia

Hyper kalemia acidosis

hypo kalemia alkalosis H ions

Hyper kalemia Acidosis

H ions

tubules H ions H ions toxic tubules

tubules

H ions H ions

toxic tubules tubules

NH3 NH3 NH4

NH4 tubules

NH3 Toxic

tubules

hypo kalemia


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♥

HCO3

♥♥♥♥♥♥

alkalosis

alkalosis

alkalosis

kidney

kidney

kidney

kidney kidney

kidney

kidney

Metabolic alkalosis

kidney

♥


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saline

Acid base balance

Metabolic acidosis Metabolic alkalosis respiratory acidosis respiratory

alkalosis

Metabolic Acidosis

metabolic acidosis kidney respiration

etiology metabolic acidosis

Metabolic acidosis

Chronic renal failure

H ions retention

acidosis

acidosis acidosis acidosis

diabetic keto acidosis

keton bodies

acteo acetic acid

heart failure

Heart failure acidosis

heart failure Low cardic out put Anemia shock

Heart failure Low cardic out put

Low cardic out put ischaemia

ischaemia Hypoxia

hypoxia


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Metabolism an aerobic pathway

an aerobic pathway lactic acid

acid

Heart failure acidosis

Ischaemia Hypoxia Hypoxia an aerobic pathway an

aerobic pathway lactic acidosis diabetes Lactic acidosis

tissue hypoxia lactic acidosis

diarrhea

diarrhea alkali

acute tubular acidosis renal tubular acidosis

Isolated defect

Kidney kidney kidney

defect Isolated defect

H ions

acidosis

Hyper kalemia

hyper kalemia acidosis

etiology

clinical picture

investigation

treatment


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clinical pictureال

clinical picture

clinical picture of the cause


Metabolic acidosis

chronic renal failure nephrology Diabetic keto acidosis endocrine

Heart failure cardiology

Diarrhea GIT

Isolated tubular acidosis


differential diagnosis

clinical pictures

PH

hyper ventilation

acidosis Hyper ventilation

hyper ventilation

Hyper ventilation rapid deep respiration

CO2Wash of CO2

Investigationsال

Acid base balance


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PH

PH acidosis

alkalosis

Metabolic respiratory PH

CO2HCO3

CO2

PH HCO3CO2

HCO3Normal

100% Lung

CO2normal kidney

Lung

CO2HCO3

Metabolic acidosis PH

HCO3 Metabolic HCO3

acidosis HCO3

CO2Metabolic CO2 normal

CO2 Normal compensation

CO2 CO2

Kidney CO2compensation

PH HCO3

CO2 Normal

compensation CO2

PH HCO3 Metabolic

Metabolic acidosis


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Metabolic alkalosis

CO2 metabolic acidosis kidney CO2 Normal

compensation compensation

compensation CO2 wash of CO2 CO2 compensation

HCO3

PH HCO3 CO2

PH PH H HCO3

HCO3 C CO2HCO3

acidosis hyper kalemia

hypo kalemia alkalosis alkalosis Hypo kalemia

hyper kalemia acidosis acidosis Hyper kalemia

acidosis

acidosis

acidosis H

H

H ions

Parallel to each other


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H ions

H ions

acidosis Hyper kalemia Hyper kalemia acidosis


hyper kalemia acidosis

alkalosis Hypo kalemia

Hypo kalemia alkalosis

Investigations investigations for the cause

chronic renal failure Diabetic keto

acidosis heart failure

differential diagnosis

treatmentبعد كده ال

treatment

treatment treatment N.B.

treatment of metabolic acidosis

N.B.

N.B.


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treatment of the cause

chronic renal failure

Diabetic keto acidosis

acidosis

NaHCO3

NaHCO3

.N.Bطب االتنين ال

N.B. chronic renal failure

Metabolic acidosis

acidosis

tetany

acidosis chronic renal failure NaHCO3

chronic renal failure Hypo calcemia acidosis

tetany hypo calcemia acidosis

non ionized calcium Ionized calcium

acidosis hypo calcemia tetany

chronic renal failure NaHCO3Calcium

N.B. metabolic acidosis DKA DKA

endocrine

saline precipitating factors

DKA not essential

Logic diabetic keto acidosis acidosis

bicarbonate essential

acidosis


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diabetic keto acidosis

acidosis

sever alkalosis

alkalosis alkalosis alkalosis

diabetic keto acidosis alkalosis

essential

sever

diabetic keto acidosis bicarbonates are not essential

metabolic acidosis

metabolic alkalosisالموضوع التاني ال

Metabolic acidosis

source

metabolic alkalosis etiology

metabolic alkalosis

Metabolic alkalosis

gastroectomy

Metabolic alkalosis

hypo kalemia

alkalosis


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Metabolic alkalosis

vomiting , gastroectomy Hypo kalemia hypo kalemia endocrine

Hypo kalemia cushing conn's diuretics aspiration

etiology

clinical pictures

clinical pictures

pictures of the cause cushing conn's

Metabolic alkalosis tetany

tetany ca hypo para thyroidism

tetany

metabolic alkalosis

metabolic alkalosis tetany

tetany normo calcemic tetany

Normo calcemic tetany

tetany Mg alkalosis

see endocrine

tetany

metabolic alkalosis tetany

Metabolic alkalosis

Investigations

PH

HCO3

CO2

PH alkalosis

HCO3 metabolic alkalosis


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CO2normal alkalosis CO2

alkalosis

alkalosis hypo kalemia


alkalosis

Investigations for the cause

treatment

kidney

Respiratory acidosis

respiratory acidosis

respiratory acidosis chest kidney

respiratory acidosis acidosis

CO2

CO2 retention

CO2 retention hypo ventilation wash

CO2CO2 alkalosis


Hypo ventilation

chest

chest COPD type 2Blue bloter type 2

COPD hypo ventilation

type 2

investigations

COPD

COPD


respiratory alkalosis


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dyspnea

dyspnea dyspnea

dyspnea


respiratory alkalosis CO2 wash CO2wash CO2

Hyper ventilation

hyper ventilation dyspnea

dyspnea chest dyspnea cardiology

left sided heart failure Pulmonary congestion pregenant female

ascites dyspnea


clinical picture clinical picture of the cause and tetany

dyspnea

tetany

Acid base balance


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acid base balance dr ahmad mowafy revision updated

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