Abdominal Pain In Metabolic Acidosis

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Chapter 16: Acid-base Imbalances

Sort What is the function of a buffer? a) To excrete weak acids b) To secrete hydrogen ions c) To convert strong acids to weak acids d) To convert ammonia to ammonium ions c) To convert strong acids to weak acids -Buffers convert strong acids to weak acids. Excretion of weak acids, secretion of hydrogen ions into the renal tubule, and conversion of ammonia to ammonium ions takes place in the kidneys. A nurse is caring for a patient three days after abdominal surgery who continues to have poorly controlled abdominal pain with green bilious nasogastric output. The patient's respiratory rate is 32 and heart rate is 128. Which acid-base imbalance does the nurse suspect is occurring? a) Mixed acidosis b) Mixed alkalosis c) Metabolic alkalosis d) Respiratory acidosis b) Mixed alkalosis -Mixed alkalosis can occur in a patient who is losing CO2 via hyperventilation (possibly related to pain) while also losing acid by another method, such as prolonged suctioning with a nasogastric tube. Respiratory acidosis occurs when the primary loss of acid is via a respiratory "blow off" of CO2. Metabolic alkalosis occurs with a systemic loss of acid via a metabolic process such as vomiting or suctionin Continue reading >>

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  1. Jason Homan

    What is Ketoacidosis?

    Only add:
    Diabetic ketoacidosis (DKA) is one consequence of untreated diabetes mellitus (chronic high blood sugar, or hyperglycemia), and is linked to an impaired glucose cycle.
    Diabetic Ketoacidosis is a complication of diabetes in which the animal becomes very ill. Symptoms of this condition, in addition to the symptoms observed with diabetes mellitus, include: dehydration, weakness, vomiting, rapid respiratory rate, and sometimes the breath takes on an odor of nail polish remover. This is an emergency and often requires many days of hospitalization to treat. This condition often requires another inciting cause in addition to diabetes. Examples of conditions that can cause diabetic ketoacidosis in a diabetic animal include: stress, infection, inflammation, estrus (heat), steroids, congestive heart failure and kidney failure.
    The condition is definitely treatable, and need not shorten the animal's life span or life quality. In type-2 cats, prompt effective treatment can even lead to diabetic remission, in which the cat no longer needs injected insulin. Untreated, the condition leads to blindness in dogs, increasingly weak legs in cats, and eventually malnutrition, ketoacidosis and/or dehydration, and death.
    I just did a quick check on ketoacidosis and they had a very nice presentation. You might want to check out this site: http://diabetes.healthcentersonline.com/
    Jason Homan

  2. Comment

    What Is Ketoacidosis. - What is Ketoacidosis Reference.com/What is Ketoacidosis What is Ketoacidosis. Find Easy-to-Read Related Content. Thousands Of Articles - Explore Answers At Reference.com Now!
    Ketoacidosis is a state of methabolic acidosis due to high blood concentration of substances called ketonic bodies. It is a common complication of Diabetes mellitus,in wich the body cretes these ketonic bodies as a result of excesive fat removal to provide an alternative energy source( the liver is the main organ for the synthesis), since glucose can´t be incorporated because cells ( specially muscle, neurons, liver, white blood cells)need insuline to do that. this condition takes time to develop, and in the end it can become life threatening, for the ketonic bodies lower the blood ph and increase seruum osmolarity, both of these dangerous for organs, specially the brain, kidneys, heart. When a person or animal goes in to diabetic ketoacidosis, it must be hospitalized inmediately and stabilized with careful fluidtherapy and insuline treatment. The type of insuline used is crystaline regular( bovine)

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    Ketoacidosis is when the body has an insufficient supply of insulin it
    cannot metabolize carbohydrates. Because of this inability to
    metabolize carbohydrates, the muscles become starved for glucose needed
    to provide the energy for work. In order to get that needed energy, the
    muscle breaks down fat. Fat, when metabolized produces the by-products
    called Ketones, which are normally excreted in the urine. If the body
    is unable to clear the ketones through the kidneys, they build to toxic
    levels and eventually lead to ketoacidosis.
    At the same time the body is producing ketones, it is not using glucose.
    The kidneys, through the production of urine, must remove both. The
    higher the ketones and unused glucose levels, the more urine must be
    produced and the body will become dehydrated.

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5,194 Possible Causes For Acidosis + High Pitched Bowel Sounds + Severe Abdominal Pain In Usa

Small Bowel Obstruction Severe Abdominal Pain Acidosis High Pitched Bowel Sounds The classic physical examination findings of abdominal distension, tympany to percussion, and high-pitched bowel sounds suggest the diagnosis.[medbullets.com] Positive findings on examination were limited to a softly distended non-tender abdomen and loud high-pitched bowel sounds.[saudijgastro.com] Symptoms include Severe abdominal pain or cramping Vomiting Bloating Loud bowel sounds Swelling of the abdomen Inability to pass gas Constipation A complete intestinal obstruction[medlineplus.gov] Intestinal Obstruction Severe Abdominal Pain High Pitched Bowel Sounds Clinical signs include abdominal distention, tympany due to an air-filled stomach and high-pitched bowel sounds. [ 9 ] History There is considerable overlap with the presentation[patient.info] Decreased pH and C02 content (metabolic acidosis ) reflect lactic acidosis occurring with bowel infarction Increased pH and C02 content (metabolic alkalosis) secondary to[diagnose-me.com] Because of the serious complications that can develop from small bowel obstruction, seek immediate medical care if you have severe abdominal pain or the other symptoms li Continue reading >>

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  1. iamnoturmaid

    Hi all day 17 and I feel like total crap, irritable, exhausted, and my breath smells weird and I feel like I have body odor! What is this about?
    I eat the same thing pretty much everyday and am very good have not gone off no matter what is placed in front of me, sweets, wine etc.
    Does this go away? Help.

  2. Susan W

    I am sorry your experience has not been good so far. Can you give us a run down of what/when/how much you are eating?

  3. iamnoturmaid

    Sure, I eat the 3 meals per day. Breakfast is hand sized protein.Chicken ground beef sausage with a lot of veggies sauted and a scrambled egg added in.
    Lunch is always a salad with chicken on top.
    Dinner is a salad, veggies and protein mostly chicken cooked in the oven. Fats include coconut oil and olive oil and balsamic on salad. I have a few cashews if I feel really hungry. I do not eat avocado.
    That is it. I feel like I have insulin resistance and I have digestive issues where I do not assimilate all the nutrients, minerals and vitamins.
    Before this diet I ate a lot of sugar in the form of candy bars. maybe 2 or 3 a day. Rarely ice cream as i am lactose intolerant. I had stopped eating anything gluten already for the last year. Don't drink anything but water sometimes with lemon and coffee with a little coconut oil in the morning.
    Thanks for the response. I appreciate any advice

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Blood Gases And Acute Pancreatitis

Summarized from Sharma V, Devi T, Sharma R et al. Arterial pH, bicarbonate levels and base deficit at presentation as markers of predicting mortality in acute pancreatitis: a single-centre prospective study. Gastroenterol Rep (Oxf) 2014; 2(3): 226-31 Acute pancreatitis, i.e. acute inflammation of the pancreas, causes sudden onset of severe upper abdominal pain often radiating to the back. Other symptoms include vomiting, constipation and pyrexia. Two main causes - alcohol abuse and gall stone disease – account for the majority (~80 %) of cases. The condition has a variable course. In many cases inflammation resolves with little or no intervention over a period of a few days to a week, with no long-term consequences, but in others the condition can be severe, progressing rapidly to systemic inflammation, sepsis and multiple organ failure. Severe acute pancreatitis is thus a potentially fatal condition that warrants immediate admission to intensive care. A major problem for initial emergency room management of patients presenting with acute pancreatitis is to distinguish those whose course is likely to be benign from those who are likely to suffer severe disease and therefore requi Continue reading >>

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  1. RedhairedNurse

    Your nursing text should point out the difference. I would tell you, but I'd just have to look it up and my books are in storage. I could also google it, but something you can also do as well. Sorry.

  2. RedhairedNurse


  3. Ilithya

    In HHNS, blood sugar levels rise, and your body tries to get rid of the excess sugar by passing it into your urine, your body tries to compensate. This usually happens to type 2s
    In DKA there is little to no circulating insulin. DKA occurs mainly, but not exclusively, in Type 1 diabetes because Type 1 diabetes is characterized by a lack of insulin production in the pancreas. It is much less common in Type 2 diabetes because the latter is closely related to cell insensitivity to insulin, not -- at least initially -- to a shortage or absence of insulin. Some Type 2 diabetics have lost their own insulin production and must take external insulin; they have some susceptibility to DKA. You get acidosis in DKA because ketones lower the bloods pH.
    Does that help?

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