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# Compensated Metabolic Acidosis Abg

## Arterial Blood Gas Analysis: Example Set 2

Arterial Blood Gas Analysis: Example Set 2 You are working in the emergency room when the paramedics bring in a 45 year-old man who was found down in Pioneer Square. He is somnolent but arouseable. He has emesis on his shirt. He is hypotensive and tachycardic. Labs are drawn and reveal the following: Step 2: The PCO2 is low (respiratory alkalosis) and the bicarbonate is low (metabolic acidosis). Therefore, the metabolic acidosis is the primary process. Step 3: The serum anion gap is elevated at 29. There is, therefore, an elevated anion gap acidosis. Step 4: The respiratory alkalosis is the compensatory process for the metabolic acidosis. The Delta Gap = Measured SAG Normal SAG = 29 12 = 17 Calculate the Delta Delta: Delta Gap + measured bicarbonate = 17 + 12 = 29 Since the Delta Delta is above a normal bicarbonate level, there is a concurrent metabolic alkalosis at work. The patient has a primary elevated anion gap acidosis with respiratory compensation (which is not complete) and a concurrent metabolic alkalosis. You would need to sort through the differential diagnosis for an elevated anion gap acidosis to identify the cause of that problem. The metabolic alkalosis is likely du Continue reading >>

1. laurenschofield

I started the Keto Diet about a week ago, and have definitely been experiencing the "Keto Flu", which I've read about and was ready for. I wasn't ready for a sore throat, though. For the last three days, I've been experiencing the lump-in-the-throat/difficult-to-swallow feeling, like when you get a cold. I'm drinking more than enough water, and hot lemon water helps quite a bit.
My question is, has anyone else experienced this as a side effect? If so, any way to quell it? Does it go away after a bit? I've done some internet research, but it hasn't pulled up much. Thank you!

2. grndzro

You also need electrolytes. not just water.
Eat 2 bricks of spinach, and take a tsp of lite salt.
Get some exercise to burn off excess ketones.
Have a cup of milk.

3. laurenschofield

Originally Posted by grndzro
You also need electrolytes. not just water.
Eat 2 bricks of spinach, and take a tsp of lite salt.
Get some exercise to burn off excess ketones.
Have a cup of milk.

Excellent, thank you! I'm exercising 5/week, so we're set there. I'll down some spinach tomorrow (gonna leave the milk though, it doesn't agree with my lactose intolerance!)

4. -> Continue reading

### Related Articles

• Compensated Metabolic Acidosis Abg

By Cyndi Cramer, BA, RN, OCN, PCRN RealNurseEd.com 3.0 Contact Hour Self Learning Module Objectives: Identify the components of the ABG and their normal ranges Interpret ABG values and determine the acid base abnormality given Identify the major causes of acid base abnormalities Describe symptoms associated with acid base abnormalities Describe interventions to correct acid base abnormalities Identify the acceptable O2 level per ABG and Pulse Oxi ...

ketosis Mar 31, 2018
• Metabolic Acidosis Would Be Compensated By What Body System

Sort When returning to normal breathing the breathing slows until homeostasis is returned. This allows the Pco2 and H+ to stabilize. With hyperventilation w/o a return the imbalance remains and the breathing volume continues to be large and fast. (JUST READ AND KNOW THIS) Explain how returning to normal breathing after hyperventilation differed from hyperventilation without returning to normal breathing. ...

ketosis Jan 11, 2018
• Partially Compensated Metabolic Acidosis

ABG values can be very intimidating! Its hard to remember all the different normal values, what they mean, and which direction theyre supposed to be going. With so much information, its super easy to get mixed up and make a stupid mistake on an exam, even when you really DO know how to interpret ABGs. In this article, Im focusing more on the How to, rather than understanding whats going on with the A&P, which Ive already done in previous article ...

ketosis Mar 28, 2018
• How Can Metabolic Acidosis Be Compensated?

Patient professional reference Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find one of our health articles more useful. See also separate Lactic Acidosis and Arterial Blood Gases - Indications and Interpretations articles. Description Metabolic acidosis is defined as an arterial blood pH <7.35 with plasma bicarb ...

ketosis Mar 31, 2018
• Partially Compensated Metabolic Acidosis Example

by "Grog" (Alan W. Grogono), Professor Emeritus, Tulane University Department of Anesthesiology What is a moderate interpretation of the text? Halfway between what it really means and what you would like it to mean? - Antonin Scalia. This page describes the interpretation of the acid-base component of blood gas results. Designing the interactive acid-base diagram necessitated the development of a logical approach. This page converts the logic ba ...

ketosis Mar 31, 2018
• Partially Compensated Metabolic Acidosis Causes

Approach Considerations Treatment of acute metabolic acidosis by alkali therapy is usually indicated to raise and maintain the plasma pH to greater than 7.20. In the following two circumstances this is particularly important. When the serum pH is below 7.20, a continued fall in the serum HCO3- level may result in a significant drop in pH. This is especially true when the PCO2 is close to the lower limit of compensation, which in an otherwise heal ...

ketosis Mar 31, 2018