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Difference Between Respiratory And Metabolic Acidosis And Alkalosis

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Metabolic Acidosis Or Respiratory Alkalosis? Evaluation Of A Low Plasmabicarbonate Using The Urine Anion Gap.

1. Am J Kidney Dis. 2017 Sep;70(3):440-444. doi: 10.1053/j.ajkd.2017.04.017. Epub2017 Jun 7. Metabolic Acidosis or Respiratory Alkalosis? Evaluation of a Low PlasmaBicarbonate Using the Urine Anion Gap. Batlle D(1), Chin-Theodorou J(2), Tucker BM(3). (1)Division of Nephrology & Hypertension, Department of Medicine, The Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: [email protected] (2)Division of Nephrology & Hypertension, Department of Medicine, The Feinberg School of Medicine, Northwestern University, Chicago, IL. (3)Section of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT. Hypobicarbonatemia, or a reduced bicarbonate concentration in plasma, is afinding seen in 3 acid-base disorders: metabolic acidosis, chronic respiratoryalkalosis and mixed metabolic acidosis and chronic respiratory alkalosis.Hypobicarbonatemia due to chronic respiratory alkalosis is often misdiagnosed as a metabolic acidosis and mistreated with the administration of alkali therapy.Proper diagnosis of the cause of hypobicarbonatemia requires integration of thelaboratory values, arterial blood gas, and clinical history. Th Continue reading >>

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Popular Questions

  1. sakura_girl

    Originally posted by InTraining
    I am going through this very same thing right now. Except that I will go for 3 days without even a minute of sleep. It's so friggin' frustrating that I just want to beat the walls. I'm doing everything right to help myself, and I can't sleep. My heart races all night long.
    There has to be some answer but so far what I find is that everybody says the same old things and they never work - magnesium, calcium, carbs - nothing has helped me. Heart racing? That's indication to me of high cortisol and/or high caffeine levels when you're ready to sleep.

  2. Chaohinon

    You've lost 70 fracking pounds and only have 30 or 40 left to go?
    I know you don't want to hear it, but the catecholamine honeymoon is almost over. Now is the prime time to add in starches and fruits, and back off of fat a little (you still need some, just don't guzzle coconut oil and heavy cream).
    If that sounds like a bad idea, I recommend checking out Richard Nikoley's recent moderate starch experiment. If you look at the FitDay breakdown, he comes out with only 210g of carbohydrate at the end of the day, a measly 60 grams above Mark's carb pyramid ceiling - with more than enough quality fat and protein behind it.
    If you can manage to not binge on the fruit you eat each day, I refuse to believe you can't manage not to binge on potatoes. As long as you're not covering them in gobs of fat, it's really not an easy thing to accomplish - and this is coming from a world-class binge eater.
    Asking how to solve your insomnia without giving up chronic low-carbing is like asking how to nourish yourself without giving up anorexia. It's an inherently false premise and will lead you nowhere.

  3. rnikoley

    Originally posted by Chaohinon
    If you can manage to not binge on the fruit you eat each day, I refuse to believe you can't manage not to binge on potatoes. As long as you're not covering them in gobs of fat, it's really not an easy thing to accomplish - and this is coming from a world-class binge eater. FWIW, after 3-4 days on this I have found hunger to actually be less, not more as I expected. And yes, absolutely, upping the carbs by roughly 150g per day meant decreasing the fat and protein. I don't know why so many have a problem with this aspect.

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