Acute On Chronic Respiratory Acidosis Abg

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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: asth

Chapter 39. Acute-on-chronic Respiratory Failure

Chapter 39. Acute-on-Chronic Respiratory Failure Ivor S. Douglas; Gregory A. Schmidt; Jesse B. Hall Douglas IS, Schmidt GA, Hall JB. Douglas I.S., Schmidt G.A., Hall J.B. Douglas, Ivor S., et al.Chapter 39. Acute-on-Chronic Respiratory Failure. In: Hall JB, Schmidt GA, Wood LH. Hall J.B., Schmidt G.A., Wood L.H. Eds. Jesse B. Hall, et al.eds. Principles of Critical Care, 3e New York, NY: McGraw-Hill; 2005. Accessed April 15, 2018. Douglas IS, Schmidt GA, Hall JB. Douglas I.S., Schmidt G.A., Hall J.B. Douglas, Ivor S., et al.. "Chapter 39. Acute-on-Chronic Respiratory Failure." Principles of Critical Care, 3e Hall JB, Schmidt GA, Wood LH. Hall J.B., Schmidt G.A., Wood L.H. Eds. Jesse B. Hall, et al. New York, NY: McGraw-Hill, 2005, Acute-on-chronic respiratory failure (ACRF) occurs when relatively minor, although often multiple, insults cause acute deterioration in a patient with chronic respiratory insufficiency. ACRF is usually seen in patients known to have severe chronic obstructive pulmonary disease (COPD), but occasionally it manifests as cryptic respiratory failure or postoperative ventilator dependence in a patient with no known lung disease. The wide variety of causes of A Continue reading >>

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  1. [deleted]

    Ok, so here's a question I have, that I can't find the answer to in the FAQ...
    Once you are fat-adapted, do you intentionally drop your dietary fat intake down and rely on body fat being utilized to make up the difference?
    Are successful Keto diets generally eating a monitored calorie deficit for their fats, or just eating fat to satiety?
    Probably both?
    I understand the first part of the Keto diet for losing fat - get into nutritional ketosis. I just don't understand the second part. I assume that it is possible to overeat fats and put on weight, so do most people still count calories?
    If so, is the major advantage over traditional dieting that it is easier to say no to food Or is it that it that you can maintain energy in a caloric deficit. Edit:Or is it muscle preservation while dieting?
    If this is answered in the FAQ's or elsewhere, thanks in advance for links.

  2. ketogirlde

    Not counting calories is often referred to as "lazy keto" around here, you can search that for experiences. It works best for morbidly obese men - the less you have to lose and the smaller you are, the less leeway you have.
    If so, is the major advantage over traditional dieting that it is easier to say no to food Or is it that it that you can maintain energy in a caloric deficit.
    The latter. Eating low-carb is satiating and it is easier to maintain a deficit without blood sugar ups and downs. This is the case whether or not you count calories. However, for people who don't have a lot to lose, are prone to binge eating, or have a history of food abuse, those satiety effects are often not strong enough to negate the need for counting calories.

  3. Scarykidscaringkids

    Yup, I'm 130 pound and not aiming to lose much more but as I used to have an ED I feel a strong need to count calories still. Not counting can result in bingeing and that scares me. I'm hoping one day to rely completely on just my hunger but I still can't trust it yet.

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Promising New Approaches to Clinical Interventions Aimed at Reducing Obesity and Preventing Progression and Complications of Diabetes Moderator: Sam Klein, M.D., Director, Center for Human Nutrition, Washington University School of Medicine For more information, please visit nam.edu/AnnualMeeting2016

Case 5 Answers - Arterial Blood Gas - Clinical Respiratory Diseases & Critical Care Medicine, Seattle - Med 610 - University Of Washington School Of Medicine

A 68 year-old man with a history of very severe COPD (FEV1 ~ 1.0L, <25% predicted) and chronic carbon dioxide retention (Baseline PCO2 58) presents to the emergency room complaining of worsening dyspnea and an increase in the frequency and purulence of his sputum production over the past 2 days. His oxygen saturation is 78% on room air. Before he is place on supplemental oxygen, a room air arterial blood gas is drawn and reveals: pH 7.25, PCO2 68, PO2 48, HCO3- 31 The patient has a high PCO2 (respiratory acidosis) and a high bicarbonate (metabolic alkalosis). The combination of the low pH and the high PCO2 tells us that the respiratory acidosis is the primary process. The metabolic alkalosis is the compensatory process. The pH is still low despite this metabolic compensation Summary: Primary respiratory acidosis with compensatory metabolic alkalosis. The alveolar-arterial oxygen difference is 17 mmHg. This value is elevated, suggesting that the hypoxemia is due to either shunt or areas of low V/Q (the more likely explanation in a patient with COPD) and cannot be explained by hypoventilation alone. The patient has very severe COPD and chronic carbon dioxide retention. As a result, Continue reading >>

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  1. AnthonyDLC

    For people stuck and staying the course i have a bunch of suggestions i promise will break your plateau.
    Since the dawn of fast food men (and women) have been searching for ways to break plateaus and induce their inner skinny. Likewise since the advent of Big Gulps, Oreos and Fritos human beings have been struggling to find the answer.
    First of all i recommend downloading MyfittnessPal. Now many of you are thinking F*** that! Dont want to count calories? The reason it is invaluable to your success is when you hit a plateau. For instance, this time last year i was losing about 3 lbs a week on the Keto Diet. Late last year and a few months ago i was stalling bad. No loss and even gains over the course of 3 weeks. Being able to log myfood and look back and see my weightloss let me see what was working and how my habits, if at all, changed.
    Secondly, Eating MORE calories will change your metabolism. The reason you are plateauing is because your body is USED to how you are eating. Change it up. Eat more. OR, EAT LESS. Either or will work. I promise you this. I have tested this many times and it works.
    Thirdly, meal size is also a huge factor. Eating 5 small meals? Thats great!!! Working for you?! Awesome?! Hit a plateau?!?! Try 2 1000 calorie meals?!! Worried about storing fat or feeling bloated?!!? DEAL WITH IT!!! A couple days is WAAAY better then staring at NO CHANGE in weight for 3 weeks!!! This works!!!
    Also workout type, timing, and duration. Try eating after workouts, or before. Switch it up. Waking up and working out fasted? Try eating first. Working out later? Try early or closer to a meal. Or vice versa, you get it! Many people get scared to do something like this. THIS IS ONLY TEMPORARY TO INDUCE METABOLISM RESPONSE. DO NOT WORRY. TRY IT FOR 2 or 3 DAYS. It usually works, or at least helps.
    Lastly, anything that could change your body chemistry from natural levels, such as stimulants (caffeine) can affect weight loss. Try lowering, eliminating, or even increasing (At your risk) these things. Obviously if you are taking prescriptions you should ALWAYS consult your doctor. I do not recommend changing prescriptions without the supervision of a doctor.
    In conclusion, all these things should be considered TEMPORARY. I did these things for usually 3 to 5 days at a time then went BACK to what i was doing BEFORE. IT knocked me out of the stall and threw me right back into MOST cases, original results.
    One thing i hate to see is everyone is different, it might not work for you, blah blah blah. This sucks to read, but its TRUE. So the advent of tools like MyfittnessPal (which by the way you do not need a smartphone to use you can access this on the web) they have created invaluable insight to how much weight we lose and with what combinations of food and timing.
    Try it! Goodluck!
    A two day fast after a 2 week stall revealed a 5 lb loss. As of this writing i will now begin eating reduced calories and work my way back up. Many people have reported not being able to eat as much and i think that for me, thats a good idea since i seem to have gotten very used to the little i do eat. My meal today was WAY OVERFILLING then what it normally would. I definitely feel a difference. I only ate veggies before my daily workout and i must say even though i ate less then 150 calories for 2 days, the keto adapted fast was relatively easy. Not nearly as hard as i expected.
    Added: WATER WATER WATER. I kid you not. Had another plateau and someone suggested water. I was drinking almost daily a gallon a day!! Guess what, gallon and over = 3 lbs of weight in a week. MORE WATER WATER WATER!!!

  2. kfarz

    Great stuff. A few other things that have helped me:
    Stop eating dairy for a couple of days
    No alcohol for a few days
    Either introduce or remove sugar alcohols for a day or two (just do the opposite of what you're doing now -- I tend to stay away from them)
    Like you said, it just seems as though changing it up and surprising your body a little bit can help jolt it out of a slump.

  3. AnthonyDLC

    I did not realize how much dairy stalled me until i took it out. My losses increased considerably after i did. There are studies showing a special protein found in Dairy can raise insulin levels in some people.

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http://simplenursing.com CLICK HERE 850 Videos 34 Videos EKGs 92 Pharmacology help LESS Study Time MORE Understanding, Guaranteed! http://simplenursing.com (CLICK HERE) Watch this 1 clever trick to boost your next Test Score!! 15 Hours FREE Nursing Help videos at SimpleNursing.com Nursing Students in nursing school this video was made for you. Mike Linares, Expert EKG instructor & Nursing Student Mentor reveals the secrets to understanding ABGs in minutes. Discover how we get Nursing Students 82% on Your Next Nursing Test, Guaranteed. Go to SimpleNursing.com Free Resources Free Videos @ SimpleNursing.com

Irocket Learning Module: Intro To Arterial Blood Gases, Pt. 1

Acute vs. Chronic Respiratory Disturbances Remember respiratory processes alter the blood pH by changing the carbon dioxide levels. When CO2 accumulates in the blood (elevated PaCO2), as when a person hypoventilates, acid builds up and the pH decreases. This is called respiratory acidosis. Similarly, with increased CO2 elimination (low PaCO2), as when a person hyperventilates, the amount of acid in the blood decreases and the pH increases. This is called respiratory alkalosis. Primary respiratory disturbances can be acute or chronic. Near drowning, asthma attack, respiratory arrest, drug overdose, upper airway obstruction, panic attack Emphysema, chronic bronchitis, high altitude travel, neuromuscular disease When anaylzing an ABG of a person with a primary respiratory disturbance, it is important to determine if the problem is acute or chronic. For example, acute respiratory acidosis is associated with an abrupt and sometimes significant decline in pH; it is a sign of possible acute respiratory failure that requires urgent intervention. However, chronic respiratory failure occurs over weeks to months to years. The acidosis associated with it is mild because the kidney has had tim Continue reading >>

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  1. cuteblonde

    can the menstrual cycle affect weight loss and ketosis? i've been doing atkins for three and a half weeks now. i lost 7 pounds after the first 2 weeks but during the third week (week of period) i gained 2 pounds back. could this be water retention even though i'm downing tons of water or hormone fluctuation? also, all this time i've been in ketosis with my strips turning dark purple. well the past 2 days (right after starting my period) i've suddenly been knocked out of ketosis. i've only added some macadamia nuts (one serving's worth at 4 carbs) and herbal tea. the tea is celestial seasonings and has 0 carbs, calories, etc. and no caffiene. but i had been consuming these 2 things for a week before suddenly my strips stopped turning purple. monday night they were dark purple and tuesday night they were barely pink. so what's the deal with this? i have never consumed more than 25 carbs on any day. i'm not focusing so much on my weight anymore. instead i like to have evidence that i'm in ketosis by having purple strips. so since they are barely pink all of a sudden does that mean i've suddenly stopped burning fat? i'm not going to stop because i feel better, but it is frustrating.

  2. Skamito

    Okay... first of all, YES! Hormones and menses can and will affect what the scale and probably also what the ketosis testing says. Don't let water retention bum you out. It is not fat gained and will pass. Just keep drinking that water and you should be fine.
    As for the ketosis strips, my best advice (though perhaps hasty) is don't use them. They are infamously unreliable and I don't trust em as far as I can throw em. Here are some things that can affect them:
    -Exposed to air
    -Exposed to steam
    -Dietary fat
    -Water intake
    -Expulsion of ketones through breath, sweat as opposed to urine
    -Just plain defective
    That being said, pink is actually better than dark purple. Purple can mean you are dehydrated. Pink still indicates the presence of ketones, but they are diluted. That's good! Drink that water.
    Are you noticing the other feelings of ketosis? Distinct breath, dimished appetite, etc. are also ways of determing the fat burning state.
    Hope that helps a bit. The tea and macadamia nuts are fine additions and if you're not going above 25g of carbs a day, I assure you that you are in ketosis and will see results.
    I wish you good luck. I'm sure you will do well. :)

  3. cuteblonde

    well that does make me feel a lot better. it's easy to get hung up on one thing like ketone strips, weight, inches, etc. i do feel better and look better so that's what is truly important.

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