Aug 17, 2018
This acid base disorder requires multiple steps!
So, make sure to pay close attention to this one.
But, what are common metabolic acidosis disorders? Well, everyone jumps to MUDPILES.
The first step, however, is to determine if there's an increased anion gap or not. Remember, the body already has a normal anion gap (difference between anions and cations).
Clinical pearl for all you Medgeeks: the anion gap is affected by albumin and this is the most abundant unmeasured anion in the body.Therefore, if albumin is low, then the normal anion gap in the body is lowered.
For everyone 1 unit decrease in the albumin from 4, then the normal anion gap drops by 2.5.
If there's an increased anion gap - then we think MUDPILES
So let's jump right in to metabolic acidosis!
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