Please encourage us to like to our videos and subscribe to channel
Md51 - Anaesthesia_mcq
MD51 [Jul01] An intravenous infusion of 8.4% sodium bicarbonate to a healthy adult maycause:A. HypotonicityB. Intracellular AcidosisC. Ionized HypercalcaemiaD.?Respiratory AlkalosisE. Rebound Metabolic AcidosisMD51b [Feb04] BicarbonateA. Complications include intracellular acidosisB. 100ml of 8.4% NaCO3 has 200 milliosmolesC.? Aug15 108. Side effect 8.4% NaHCO3 administration A. Intracellular acidosisB. Rebound metabolic acidosisC. ... Other options were easy to rule out =============================================================================================================== Brandis p38 - almost word for word (is that allowed?) 8.4% NaHCO3 is a one molar solution because the molecular weight of NaHCO3 is 84 = 84g/L = 8.4g/100mls.But each molecule of NaHCO3 dissociates into 2 particles in solution so the osmolality is double the molality. ie 2 osmoles/kg = 2000mOsm/kg = about 7 times the plasma osmolality. 100mls of the solution would then have 200 mOsm. The ECF HCO3 will cause decrease in H+ concentration. I think this then causes H+ to move out of the cells and K+ to move in. If this is true, B would also be incorrect. Don't know about C,D,E can some smart person help me? R
Get My Downloadable Programs Here: https://tinyurl.com/lp9va6p Pump Chasers Clothing- http://PumpChasers.com Pump Chaser Supplements- http://www.tigerfitness.com/Pump-Chas... (UK) Pump Chasers Supps- https://a-listnutrition.com/ For Coaching, Meal Plans, Clothing & Routines- http://BeastmodeJonesCoaching.com Facebook http://www.facebook.com/ChrisJones214 http:/https://www.facebook.com/physiquesofg... https://www.facebook.com/PumpChasersC... Follow Me On INSTAGRAM https://instagram.com/beastmodejones/ https://instagram.com/pumpchasers/ Want to try my Boot Camp? Join Beastmode Bootcamp: https://join.beastmodebootcamp.org
Treat acidosis with ventilation and perfusion Bicarbonate has not been shown to improve survival Bicarbonate may transiently depress CV parameters Bicarbonate 4.2% (0.5 meq/ml in 10 ml ampule) Bicarbonate 8.4% (1 meq/ml in 50 ml prefilled syringe) Equivalents of Sodium Bicarbonate (NaHCO3) Standard bicarb ampule is 50 meq in 50 ml Equivalent to 8.4 grams/dl or 4.2 grams/50 ml One ampule = 50 meq = 4.2 grams = 50 mmoles Do not use 8.4% in child under 3 months old Bicarbonate 8.4% is hyperosmolar (2000 mosm/L) Intraventricular bleeding risk in Preterm Infant Use in Child over 3 months old and adults Sodium Bicarbonate 8.4%: 1 amp (50 meq or 50 mmol) Base actual dosing on standard pharmacology texts IV infusion must be slow even in emergency Initial Dose: 1 meq/kg IV or IO over 1-2 minutes Additional Dose: 0.5 meq/kg IV or IO every 10 minutes Base repeat dosages on Arterial Blood Gas Continuous Infusion: 5% bicarbonate (297.5 meq/500ml) VI. Dosing: Adults for Urine Alkalinization Irrigate IV or IO tubing with Normal Saline Irrigate before and after bicarbonate infusion Intracranial Hemorrhage in newborns (hyperosmolality) Use only 4.2% bicarbonate in under age 3 months Images: Relate
This is another in my how to series of making things. In this video I show you how to make a water ionization alkalization water unit using simple parts found around the house for around $20 to $30. I did this unit for my health, and to help me clean up 48 years of too many burgers and pizza, also to help me clean the fluoride and chlorine that many cities are putting into the public drinking water systems. I have been drinking the water I made in this unit for over a few weeks, with no harmful effects what so ever, I have however felt better, have more energy, and just a few days. After I started drinking my water I was able to cut my grass and still felt fine, where before I was dead, heck at one point I had to lay in my driveway to rest before I could get cleaned up. This video is intended for educational purposes only. So if you do decide to build one please do so at your own risk. The water made in this unit will result in a high PH ionized alkalized water which is said to balance the high acidic levels of your body. Note to date I do not own a digital ORP or PH level meter so I did the best I could with a chemical test unit I own. I advise anybody building one to purchase these items to get an accurate result of your water levels. Ok Ed, but what does PH and ORP mean? In simple terms PH = acid/alkaline balance = ionizing = O.R.P. (oxidation reduction potential) This is saying that when there are more H+ ions in water than OH- ions, it will read as acidic. When there are more OH- than H+, it's alkaline water. So acid or alkaline liquid is measured as pH, and pH is a measure of hydrogen ions (atoms).The more H+ in a liquid, the more 'acidic'. The more OH-, the more alkaline. What is a good level then? The fact is, most water ionizers will have an ORP reading of -300 to -600 at the 9.5 pH level most often used for drinking, but I have read that the body is not able to process anything over -350, and as the ORP goes to a stronger negative reading than -350 the body isn't able to process the excess. Drinking ionized water throughout the day, at any negative ORP level, gives the body a steady supply of antioxidants -- and minerals -- and hydration, so do not freak out if your water is at a -500 ORP. What is the reason then for drinking alkaline water? Some are reverse aging, more energy, there are too many to list, but the answer is out there on the internet please do the research. Lets just say our body is overloaded with acid type foods like burgers, beer, and soda, it needs help or it starts to rob bones and teeth, and yes, we actually erode our own skeleton to feed our acid habit. It can lead to gout which is painful I'll tell you what. Alkaline water helps to reduce the acid and help the body to balance, but reducing the burgers and beer should be the first step. Remember blood is 7.35 to 7.45 PH.
Efficient Extra- And Intracellular Alkalinization Improves Cardiovascular Functions In Severe Lactic Acidosis Induced By Hemorrhagic Shock | Anesthesiology | Asa Publications
Efficient Extra- and Intracellular Alkalinization Improves Cardiovascular Functions in Severe Lactic Acidosis Induced by Hemorrhagic Shock From the CHU Nancy, Service de Ranimation Mdicale Brabois, Pole Cardiovasculaire et Ranimation Mdicale, Hpital Brabois, Vandoeuvre les Nancy, France; Institut National de la Sant Et de la Recherche Mdicale (INSERM) U1116, Equipe 2, Facult de Mdecine, Vandoeuvre les Nancy, France; Universit de Lorraine, Nancy, France (A.K., N.D., and B.L.); INSERM U1116, Equipe 2, Facult de Mdecine, Vandoeuvre les Nancy, France; Universit de Lorraine, Nancy, France (N.S., K.I., and C.S.); and Critallographie, Rsonnance Magntique et Modlisation (CRM2), Unit Mdicale de Recherche (UMR), Centre National de la Recherche Scientifique (CNRS), Institut Jean Barriol, Facult des Sciences et Technologies, Vandoeuvre les Nancy, France; Universit de Lorraine, Nancy, France (J.-M.E. and S.L.). From the CHU Nancy, Service de Ranimation Mdicale Brabois, Pole Cardiovasculaire et Ranimation Mdicale, Hpital Brabois, Vandoeuvre les Nancy, France; Institut National de la Sant Et de la Recherche Mdicale (INSERM) U1116, Equipe 2, Facult de Mdecine, Vandoeuvre les Nancy, France; Univer
What is metabolic acidosis? The buildup of acid in the body due to kidney disease or kidney failure is called metabolic acidosis. When your body fluids contain too much acid, it means that your body is either not getting rid of enough acid, is making too much acid, or cannot balance the acid in your body. What causes metabolic acidosis? Healthy kidneys have many jobs. One of these jobs is to keep the right balance of acids in the body. The kidney ...
Sodium bicarbonate is a systemic alkalinizing agent. It most often is administered IV in the treatment of metabolic and respiratory acidosis. Sodium bicarbonate is also used in the acute treatment of hyperkalemia, although it should be kept in mind that this represents palliative treatment for this condition. Sodium bicarbonate is sometimes used for urinary alkalinization. Despite being a highly effective antacid, sodium bicarbonate is rarely us ...
When your body fluids contain too much acid, it’s known as acidosis. Acidosis occurs when your kidneys and lungs can’t keep your body’s pH in balance. Many of the body’s processes produce acid. Your lungs and kidneys can usually compensate for slight pH imbalances, but problems with these organs can lead to excess acid accumulating in your body. The acidity of your blood is measured by determining its pH. A lower pH means that your blood ...
Jamie McElrath Schwartz, ... Donald H. Shaffner, in Smith's Anesthesia for Infants and Children (Eighth Edition) , 2011 Sodium bicarbonate causes an acid-base reaction in which bicarbonate combines with hydrogen ion to form water and carbon dioxide, resulting in an elevated blood pH: Because sodium bicarbonate generates CO2, adequate alveolar ventilation must be present before its administration. As respiratory failure is the leading cause of ca ...
Abstract The utility of bicarbonate administration to patients with severe metabolic acidosis remains controversial. Chronic bicarbonate replacement is obviously indicated for patients who continue to lose bicarbonate in the ambulatory setting, particularly patients with renal tubular acidosis syndromes or diarrhea. In patients with acute lactic acidosis and ketoacidosis, lactate and ketone bodies can be converted back to bicarbonate if the clini ...