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Compensated Metabolic Acidosis Abg

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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 >>

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Popular Questions

  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!)

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