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Acidosis And Alkalosis Pdf

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Respiratory acidosis #sign and symptoms of Respiratory acidosis Respiratory acidosis ABGs Analyse https://youtu.be/L5MWy1iHacI Plz share n subscribe my chanel is a condition that occurs when the lungs cant remove enough of the Suctioning https://youtu.be/hMJGkxvXTW0 carbon dioxide (CO2) produced by the body. Excess CO2 causes the pH of blood and other bodily fluids to decrease, making them too acidic. Normally, the body is able to balance the ions that control acidity. This balance is measured on a pH scale from 0 to 14. Acidosis occurs when the pH of the blood falls below 7.35 (normal blood pH is between 7.35 and 7.45).Rinku Chaudhary NSG officer AMU ALIGARH https://www.facebook.com/rinkutch/ Respiratory acidosis is typically caused by an underlying disease or condition. This is also called respiratory failure or ventilatory failure. Suctioning https://youtu.be/hMJGkxvXTW0 Normally, the lungs take in oxygen and exhale CO2. Oxygen passes from the lungs into the blood. CO2 passes from the blood into the lungs. However, sometimes the lungs cant remove enough CO2. This may be due to a decrease in respiratory rate or decrease in air movement due to an underlying condition such as: asthma COPD pneumonia sleep apnea TYPES Forms of respiratory acidosis There are two forms of respiratory acidosis: acute and chronic. Acute respiratory acidosis occurs quickly. Its a medical emergency. Left untreated, symptoms will get progressively worse. It can become life-threatening. Chronic respiratory acidosis develops over time. It doesnt cause symptoms. Instead, the body adapts to the increased acidity. For example, the kidneys produce more bicarbonate to help maintain balance. Chronic respiratory acidosis may not cause symptoms. Developing another illness may cause chronic respiratory acidosis to worsen and become acute respiratory acidosis. SYMPTOMS Symptoms of respiratory acidosis Initial signs of acute respiratory acidosis include: headache anxiety blurred vision restlessness confusion Without treatment, other symptoms may occur. These include: https://www.healthline.com/health/res... sleepiness or fatigue lethargy delirium or confusion shortness of breath coma The chronic form of respiratory acidosis doesnt typically cause any noticeable symptoms. Signs are subtle and nonspecific and may include: memory loss sleep disturbances personality changes CAUSES Common causes of respiratory acidosis The lungs and the kidneys are the major organs that help regulate your bloods pH. The lungs remove acid by exhaling CO2, and the kidneys excrete acids through the urine. The kidneys also regulate your bloods concentration of bicarbonate (a base). Respiratory acidosis is usually caused by a lung disease or condition that affects normal breathing or impairs the lungs ability to remove CO2. Some common causes of the chronic form are: asthma chronic obstructive pulmonary disease (COPD) acute pulmonary edema severe obesity (which can interfere with expansion of the lungs) neuromuscular disorders (such as multiple sclerosis or muscular dystrophy) scoliosis Some common causes of the acute form are: lung disorders (COPD, emphysema, asthma, pneumonia) conditions that affect the rate of breathing muscle weakness that affects breathing or taking a deep breath obstructed airways (due to choking or other causes) sedative overdose cardiac arrest DIAGNOSIS How is respiratory acidosis diagnosed? The goal of diagnostic tests for respiratory acidosis is to look for any pH imbalance, to determine the severity of the imbalance, and to determine the condition causing the imbalance. Several tools can help doctors diagnose respiratory acidosis. Blood gas measurement Blood gas is a series of tests used to measure oxygen and CO2 in the blood. A healthcare provider will take a sample of blood from your artery. High levels of CO2 can indicate acidosis.

Respiratory Acidosis

Practice Essentials Respiratory acidosis is an acid-base balance disturbance due to alveolar hypoventilation. Production of carbon dioxide occurs rapidly and failure of ventilation promptly increases the partial pressure of arterial carbon dioxide (PaCO2). [1] The normal reference range for PaCO2 is 35-45 mm Hg. Alveolar hypoventilation leads to an increased PaCO2 (ie, hypercapnia). The increase in PaCO2, in turn, decreases the bicarbonate (HCO3–)/PaCO2 ratio, thereby decreasing the pH. Hypercapnia and respiratory acidosis ensue when impairment in ventilation occurs and the removal of carbon dioxide by the respiratory system is less than the production of carbon dioxide in the tissues. Lung diseases that cause abnormalities in alveolar gas exchange do not typically result in alveolar hypoventilation. Often these diseases stimulate ventilation and hypocapnia due to reflex receptors and hypoxia. Hypercapnia typically occurs late in the disease process with severe pulmonary disease or when respiratory muscles fatigue. (See also Pediatric Respiratory Acidosis, Metabolic Acidosis, and Pediatric Metabolic Acidosis.) Acute vs chronic respiratory acidosis Respiratory acidosis can be acut Continue reading >>

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  1. mflynn00

    The very first time I tried the keto diet, I experienced the dreaded keto flu symptoms for the second week while my body was fully adjusting. Since then, I have had no issues going out of and back into ketosis. Now, with everyone in my house getting sick, I am once again getting a cold/flu and I was wondering how you guys treat the symptoms while attempting to remain true to the keto diet? I have taken a load of buffered vitamin C, chicken broth, tons and tons of water and these seems to help some but I was wondering if you guys had any other advice. Thanks!

  2. I_talk_about_stuff

    If you are having troubles with solids or appetite you could add some butter, olive or mct oil to your broths or teas/coffee. Add a multi if you are not using already.

  3. sollevatore

    It sounds like you're doing everything right already! I would've suggested broth, vitamin C, rest, and fluids. Not much else you can do except wait it out. My one piece of advice would be to not run to the comfort of carby foods while you're sick. I know personally it feels more natural to eat something starchy when ill but in the long run it'll just make you feel worse.
    Feel better soon!

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ABGs Tic Tac Toe Method for Nurses with QUIZ: This video tutorial is on how to set-up arterial blood gas problems using the tic tac toe method. This TIC TACE TOE method is so super easy when solving respiratory alkalosis, acidosis, metabolic alkalosis, or acidosis. Nursing students will be tested on this material in nursing school, and this is one of the easiest ways to solve these arterial blood gas problems. This is an "ABGs made easy for nurses and nursing students" tutorial. Arterial Blood Gas Quizzes: http://www.registerednursern.com/abg-... Video: How to use the Tic Tac Toe Method for PARTIALLY vs FULLY Compensated ABGs: https://www.youtube.com/watch?v=t_V8E... Respiratory Acidosis: https://www.youtube.com/watch?v=X0Vjn... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos": https://www.youtube.com/playlist?list... "Nursing School Study Tips": https://www.youtube.com/playlist?list... "Nursing School Tips & Questions": https://www.youtube.com/playlist?list... "Teaching Tutorials": https://www.youtube.com/playlist?list... "Types of Nursing Specialties": https://www.youtube.com/playlist?list... "Healthcare Salary Information": https://www.youtube.com/playlist?list... "New Nurse Tips": https://www.youtube.com/playlist?list... "Nursing Career Help": https://www.youtube.com/playlist?list... "EKG Teaching Tutorials": https://www.youtube.com/playlist?list... "Personality Types": https://www.youtube.com/playlist?list... "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list... "Diabetes Health Managment": https://www.youtube.com/playlist?list...

American Thoracic Society - Interpretation Of Arterial Blood Gases (abgs)

Interpretation of Arterial Blood Gases (ABGs) Chief, Section of Pulmonary, Critical Care & Sleep Medicine Bridgeport Hospital-Yale New Haven Health Assistant Clinical Professor, Yale University School of Medicine (Section of Pulmonary & Critical Care Medicine) Interpreting an arterial blood gas (ABG) is a crucial skill for physicians, nurses, respiratory therapists, and other health care personnel. ABG interpretation is especially important in critically ill patients. The following six-step process helps ensure a complete interpretation of every ABG. In addition, you will find tables that list commonly encountered acid-base disorders. Many methods exist to guide the interpretation of the ABG. This discussion does not include some methods, such as analysis of base excess or Stewarts strong ion difference. A summary of these techniques can be found in some of the suggested articles. It is unclear whether these alternate methods offer clinically important advantages over the presented approach, which is based on the anion gap. Step 1: Assess the internal consistency of the values using the Henderseon-Hasselbach equation: If the pH and the [H+] are inconsistent, the ABG is probably no Continue reading >>

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  1. GMX

    I've been ketoing now almost 5 weeks but have been struggling to get my fasting blood glucose down. This morning my blood ketones registered at .8 but my blood glucose was 122. I'm eating about 90-100g protein a day but I weigh 217. Is it still just too much protein? Carb intake is negligible. Fat intake is probably 250g a day. Any thoughts? Thanks.

  2. Mare

    For your weight, that does not seem like a lot of protein to me. I weigh 145, and I've calculated my minimum protein at 60g and can go as high as 100g.
    As to blood glucose, there's a phenomenon with ketosis where fasting BG is elevated, but it is benign. Peter at Hyperlipid had a post on his blog some time ago that provided the science behind this, but I could not follow it. This may be what you're experiencing.

    My endo told me that this is true, and he goes by my A1C rather than my fasting because of this.

  3. carolT

    Protein could be lower if you are female (sorry, can't tell) and/or not exercising, but the ketone level indicates you are accessing some fat overnight.

    Have you taken glucose readings at night or before your main meal? Are they lower? You may be experiencing "dawn phenomenon" where glucose is higher in the morning because 1.) the same hormones that wake you up also give you some extra glucose to start the day or 2.) your glucose dropped overnight and your body reacts by making more of it. Also, if you happen to get up in the middle of the night, you could see what your glucose is doing before your normal waking time.

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Dehydration occurs when your body has lost more fluid than you have taken in. Remaining hydrated is critical to your overall health. Every cell in your body needs water, along with oxygen, to function properly. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 Anyone can become dehydrated, but those at a higher risk include infants, young children, older adults, people with chronic illnesses, endurance athletes and people living at high altitudes. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 Some common causes of dehydration are vigorous exercise in hot weather, diarrhea, vomiting, excessive sweating and increased urination. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 The symptoms differ depending on whether the condition is mild or severe. Some symptoms of mild to moderate dehydration are dry mouth, fatigue, thirst, less urination, dry skin, headaches, constipation, muscle cramps and dizziness or lightheadedness. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 Symptoms of severe or chronic dehydration are extreme thirst, confusion, little or no urination, sunken eyes, very dry mouth, dry skin that lacks elasticity, low blood pressure, rapid heartbeat, rapid breathing and even delirium or unconsciousness. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 Related videos: https://youtu.be/LRU7fQTUBsM https://youtu.be/JWCAF1KnU78 https://youtu.be/BaEkEtINz4s https://youtu.be/a34JkhQSteo https://youtu.be/vJo5x23GmbM https://youtu.be/BcucyJ-NfU4 https://youtu.be/vJo5x23GmbM http://youtu.be/jSDW_FVzPPE http://youtu.be/yYm2iJucfz0 http://youtu.be/_xhvRRMJuCs http://youtu.be/yF9qylXU_es http://youtu.be/rUgn2LPHJ8U http://youtu.be/6vhmYR7AabY http://youtu.be/550v9JUbnAU http://youtu.be/QZO-wNkt76E If not treated timely, dehydration can lead to several complications. You should seek medical help for severe dehydration, but you can treat mild dehydration at home. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 1. Increase Your Water Intake The first step to treat dehydration is increasing your water intake. Water is usually enough to rehydrate adults. You should drink sufficient water even if you do not feel particularly thirsty. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 Sip small amounts of water and clear fluids throughout the day. Drink carbohydrate- or electrolyte-containing drinks. Suck on popsicles made from juices and sports drinks. Suck on freeze bottled water or ice chips at frequent intervals. According to the Institute of Medicine, healthy adult men living in a temperate climate need an adequate intake of about 13 cups (3 liters) of total beverages in a day. Healthy adult women need about 9 cups (2.2 liters) of total beverages a day. Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 2. Homemade ORS Prompt restoration of lost fluids and minerals is important when suffering from dehydration. One easy way to achieve this is with a homemade oral rehydration solution (ORS). Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 Add ½ teaspoon of salt and 6 teaspoons of sugar (or brown sugar) to 4 cups of drinking water. Stir thoroughly until the salt and sugar dissolve completely. Drink this homemade ORS several times a day until you recover completely. You can also buy ORS that are approved by the World Health Organization (WHO). Dehydration Headache | Dehydration Cause and Symptoms | Home remedies for dehydration 2015 3. Yogurt Yogurt is an effective remedy for dehydration due to diarrhea or vomiting. It is a good source of electrolytes. In addition, it is soothing to the stomach and easily digested. For more information: http://www.top10homeremedies.com/home... Thanks for watching :) The video is TUTORIAL BASED, but it will surely provide you the best solution of your problem, so keep watching.

The Treatment Of Dehydration, Acidosis And Alkalosis

THE TREATMENT OF DEHYDRATION, ACIDOSIS AND ALKALOSIS Under various circumstances a syndrome called dehydration develops. The patient shows diminished turgor of the skin, sunken eyes, poor circulation, oliguria and concentration of the blood with respect to red cells and serum proteins. While an inadequate intake of water will produce some of these symptoms, the fully developed picture occurs almost exclusively when, as a result of vomiting, diarrhea, sweating or abnormal diuresis, the body has lost extracellular electrolyte (salts) as well as water. Furthermore, this fully developed picture of dehydration can be produced when extracellular electrolyte is no longer available to the body as a whole because it has been fixed in the inflammatory exudate of a burn. In dehydration the evidences of loss of fluid volume are confined chiefly to extracellular fluids. The central feature is the deficiency of extracellular electrolyte, since dehydration can develop either with or without loss of water from the body as a Continue reading >>

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  1. Angel_P

    Hi everyone, I am due to be banded on wednesday the 30th and I am almost 6 days on full liquids and I noticed yesterday evening that I was having bad breath. It is like the "ketosis breath" from adkins. That is what I think it is, has anyone else had this too? Does it continue after you are banded? This is horrible. I brush and swish and it comes back! OK just wondering, thanks for any replies!:teeth_smile::thumbup:

  2. PSJ71

    Hi!
    Yes, actually this is a normal process that happens when you do low carb and high Protein diets. When your body goes into ketosis this is released in the breath, thus the bad smell to the breath. This is good though! At least you know your body is burning the fat it needs. Having stinky breath is an unpleasant side effect though. You could try rinsing your mouth with Water frequently and see if keeping your mouth moist helps.
    Good luck to you!

  3. lfoss

    I am glad to here someone else has that bad breath. I noticed it too. I will be glad when the liquids are over. My surgery date is August 1st.

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