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Are Copd Patients In Respiratory Acidosis?

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CPAP and non-invasive ventilation: a basic introduction to what it is in 5 minutes

Acidbase Balance, Serum Electrolytes And Need For Non-invasive Ventilation In Patients With Hypercapnic Acute Exacerbation Of Chronic Obstructive Pulmonary Disease Admitted To An Internal Medicine Ward

Acidbase balance, serum electrolytes and need for non-invasive ventilation in patients with hypercapnic acute exacerbation of chronic obstructive pulmonary disease admitted to an internal medicine ward Hypoventilation produces or worsens respiratory acidosis in patients with hypercapnia due to acute exacerbations of chronic obstructive pulmonary disease (AECOPD). In these patients acidbase and hydroelectrolite balance are closely related. Aim of the present study was to evaluate acidbase and hydroelectrolite alterations in these subjects and the effect of non-invasive ventilation and pharmacological treatment. We retrospectively analysed 110 patients consecutively admitted to the Internal Medicine ward of Cava de Tirreni Hospital for acute exacerbation of hypercapnic chronic obstructive pulmonary disease. On admission all patients received oxygen with a Venturi mask to maintain arterial oxygen saturation at least >90%, and received appropriate pharmacological treatment. Non-Invasive Ventilation (NIV) was started when, despite optimal therapy, patients had severe dyspnea, increased work of breathing and respiratory acidosis. Based on Arterial Blood Gas (ABG) data, we divided the 11 Continue reading >>

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  1. wild_wild_wes

    Keto strip test results

    I started Keto on Monday. Today I bought the Keto test strip kit a WalMart and just tried one. The color result put me somewhere in the SMALL (15) to MODERATE (40) range, but much closer to MODERATE.
    Is that okay?

  2. lbendall

    throw them away

  3. PullAndBear

    Originally Posted by lbendall
    throw them away

    um..why?

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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

Respiratory Acidosis

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 .) Respiratory acidosis can be acute or chronic. In acute respiratory acidosis, the PaCO2 Continue reading >>

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  1. AnnieC

    Keto insomnia?

    I've been doing this for 5 days now and I had a lot of trouble sleeping unlike before where I had no trouble falling asleep. Have any of you experienced this?

  2. maresf16

    Yea when I was "adjusting" I kept getting massive headaches and feverish. I woke up every two hours if I was sleeping reasonably well, and sometimes I just drifted in and out of consciousness by the minutes. It's passed now, but I don't remember it taking 5 days.

  3. AnnieC

    Originally Posted by maresf16
    Yea when I was "adjusting" I kept getting massive headaches and feverish. I woke up every two hours if I was sleeping reasonably well, and sometimes I just drifted in and out of consciousness by the minutes. It's passed now, but I don't remember it taking 5 days.

    How long have you been doing it?
    Maybe it takes longer for me because my metabolism is more screwed up eheh. I've been a mega-sugar addict all my life. This is a HUGE change for me. At least, I don't feel as sluggish now as I did on day 3 so that's pretty good!

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What is emphysema? Emphysema's a type of chronic obstructive pulmonary disease (COPD) where the connective tissue in the lungs breaks down, obstructing the airways. Find more videos at http://osms.it/more. Study better with Osmosis Prime. Retain more of what youre learning, gain a deeper understanding of key concepts, and feel more prepared for your courses and exams. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways and more when you follow us on social: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Thank you to our Patreon supporters: Alex Wright Omar Berrios Osmosis's Vision: Empowering the worlds caregivers with the best learning experience possible.

Acid Base Status In Chronic Obstructive Pulmonary Disease Patients

Acid base status in chronic obstructive pulmonary disease patients 348 patients of chronic obstructive pulmonary diseases (COPD) were studied for their acid base profile using ABL-3 blood gas analyser (Radiometer, copenhagan). 185 patients (53.1%) had simple disorders (respiratory acidosis53%, respiratory alkalosis25.4%, metabolic acidosis11.3%, metabolic alkalosis10.2%). Mixed disorders were present in 131 patients (34.9%) (respiratory acidosis and metabolic acidosis75.2%, respiratory acidosis and metabolic acidosis14%, metabolic acidosis and metabolic alkalosis5.7%, metabolic alkalosis and respiratory alkalosis4.9%). Hypoxemia without other acid base abnormalities was observed in early patients of GOPD (42 patients12%). Chronic respiratory acidosis was the most common finding in advanced cases of COPD (98%). An almost equal number of such patients had a mixed disorder of respiratory acidosis with metabolic alkalosis (91%). Salt restriction, prolonged use of steriods and hypokalemia were often related to metabolic alkalosis in such patients. Chronic Obstructive Pulmonary DiseaseChronic Obstructive Pulmonary Disease PatientMetabolic AcidosisHypokalemiaAcid Base These keywords were Continue reading >>

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  1. Prairie-dawg

    So I went to the pharmacy yesterday to pick up a new scale and some Ketostix. The pharmacist (who works right next door to me and I've become friendly with) asked me if I was "starting some kind of crazy diet." I told him I've started a ketogenic diet and I'm just trying it out to see if it's right for me. He asked me a few questions about it, mostly about macro ratios and if it's been working so far. When I told him about the higher fat ratio (as opposed to high protein) he seemed somewhat intrigued, but still a little skeptical. The other pharmacist who was working with him chimed in at that point. He said apparently in some Scandinavian countries, they've found that a higher fat content and fewer simple carbs in a person's diet is ideal and actually recommended. However, they both agreed that ketosis for an extended period of time can be very hard on the kidneys. I did a little investigating on my own and there's very little info regarding the long-term effects of the high fat/moderate protein/low carb keto diet. So my question is, has anybody experienced any kidney issues on this diet? Has anyone received any similar warnings from their physician?
    TL;DR
    Pharmacist warned about kidney issues caused by long term ketosis. Seeking out facts/sources to prove or disprove this claim.

  2. cloudmind

    When I first started keto I ended up going to hospital because I had severe internal pain that wouldn't go away. Turns out I was eating far too much protein so my kidneys were giving me grief. Fixed it by upping the fat macros in my diet and I went back to being pain free. Hooray for butter and coconut oil!
    Given my experience, I can understand where the pharmacists are coming from since I think there might* have been a spate of people doing atkins-like diets with kidney problems in the past (too much protein, not enough fat).
    *rampant speculation on my part

  3. Prairie-dawg

    I don't blame them for that at all. In fact, before I really started doing my homework on keto, I used to internally roll my eyes when people would talk about low carb dieting. I think there's a lot of risidual negativity held over from the early days of Atkins regarding low carb diets. Fortunately, I'm always happy to have a teaching moment when the chance arises!

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