MUDPILES
- Methanol
- Uremia
- Diabetic Ketoacidosis (check serum ketones)
- Propylene Glycol (in BZD drips) or Paraldehydes
- Isoniazid
- Lactic Acidosis (check serum lactate)
- Ethylene Glycol (anti-freeze)
- Salycylates
GOLDMARK
- Glycols (ethylene or propylene)
- Oxoporin (reflects fatty liver damage from glutathione consumption, e.g. acetaminophen toxicity)
- L-Lactate
- D-Lactate (bacterial form)
- Methanol
- Aspirin (salycylate)
- Renal Failure (BUN uremia)
- Ketoacidosis
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GI Loss
- Diarrhea / Laxatives
- Fistula, (pancreatic, biliary)
- Uretero-intestinal diversion (ileal conduit)
Renal Loss
- Renal Tubular Acidosis (Type 1 Distal or Type 2 Proximal)
- Renal Failure
- Hyper-kalemia
Exogenous Acid
FUSED CARS
- Fistula (pancreatic, biliary)
- Uretero-gastric conduit
- Saline admin (dilutional acidosis)
- Endocrine (hyper-PTH)
- Diarrhea
- Carbonic anhydrase inhibitor (acetazolamide)
- Ammonium chloride
- Renal tubular acidosis
- Spironolactone
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Alkaline Input
- Bicarbonate Infusion
- Hemodialysis
- Calcium Carbonate
- Parenteral Nutrition
Proton Loss
- GI Loss (vomiting, NG suction)
- Renal loss
- Diuretics
- Mineralocorticoids
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Airway Obstruction
- Foreign body, aspiration
- OSA (obstructive sleep apnea)
- Laryngo- or broncho-spasm
Neuromuscular
- Myasthenia gravis
- Hypokalemic periodic paralysis
- Guillain-Barre
- Botulism, Tetanus
- Hypo-kalemia, hypo-phosphatemia
- Cervical spine injury
- Morbid obesity
- Polio, MS, ALS
Central
- Drugs (opiates, sedatives)
- Oxygen treatment in acute hypercapnia
- Brain trauma or stroke
Pulmonary
- Pulmonary edema
- Asthma
- Pneumonia
- ARDS
- COPD
- Pulmonary Fibrosis
Mechanical Ventilation
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Hypoxia
- High altitude
- CHF
- Pulmonary Embolism
Lung Disease
- Pulmonary fibrosis
- Pulmonary edema
- Pneumonia
Drugs
Stimulation of Respiratory Drive
- Psychogenic
- Neurologic (pontine tumor)
- Sepsis
- Pregnancy
- Mechanical ventilation
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