explain metab acidosis differentials

idk if this is really within scope

  • introduce self
  • check student's identity and level of experience
  • ensure patient (if applicable) is safe in department
  • set learning objectives
  • explain how to calculate anion gap
  • explain confounding factors
    • extremes of albumin (high/low) → high anion gap without acidosis can be caused by high albumin
  • normal anion gap + metab acidosis implies loss of HCO3
    • details possible causes: addisons, GI/renal losses, diuretics (acetazolamide)
  • high anion gap + metab acidosis
  • contextualise to patient
  • elicit questions
  • signpost to further learning material