Baking Soda For Respiratory Acidosis

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A Glucocorticoids B Adh C Parathormone D Atrial Natriuretic Peptides E

31) ______ sweating. the feces. the kidneys. buffers. the liver. 32) The primary role of the carbonic-acid-bicarbonate buffer system is to 32) ______ increase ventilation. buffer stomach acid. buffer carbonic acid formed by carbon dioxide. limit pH changes caused by organic and fixed acids. buffer the urine. 33) Hypoventilation leads to 33) ______ A) metabolic acidosis. B) respiratory acidosis. C) respiratory alkalosis. D) metabolic alkalosis. 34) In response to respiratory alkalosis, the 34) ______ respiratory rate increases. kidneys conserve bicarbonate. tidal volume increases. kidneys retain more hydrogen ions. kidneys secrete more hydrogen ions. 35) Prolonged vomiting can result in 35) ______ respiratory acidosis. metabolic alkalosis. respiratory alkalosis. metabolic acidosis. 36) A person with emphysema will exhibit signs of 36) ______ chronic metabolic acidosis. acute respiratory acidosis. chronic respiratory acidosis. chronic respiratory alkalosis. 37) A person with poorly controlled diabetes mellitus will develop 37) ______ A) respiratory alkalosis. B) metabolic alkalosis. C) metabolic acidosis. D) This preview has intentionally blurred sections. Sign up to view the full v Continue reading >>

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  1. MrsNoMohren

    So I went to my 14 week check up today and I was having my typical morning sickness but maybe a little bit worse (riding in a car makes it worse and my doctor is a hr drive away). Well when I got in there they freaked out at me puking because they thought I had the flu (I thought they were about to call in hazmat!) but when I told them it was just my normal situation they started asking me question really concerned. I started to feel dumb that I hadn't worried more about how sick I had been but from being on here, reading up, and having preggie buddies that are sick I thought I was normal. Well they ran a bunch of tests on me and hooked me up to 2 bags of IV fluids. I was pretty scared at this point as I felt like the whole office was coming in to look at me. Well I'm 5'8 and was 208 at 3 weeks (the highest I had ever been due to endo flare ups that I was hoping to get down before I conceived. didn't happen). Well today I was down to 192 and they freaked out about that to which I just figured it was because I had been sick and my endo was gone. Well then they told me I have starvation ketosis because I had extremely high level of ketones in my urine. They said all my other vitals looked good and that starvation ketosis is basically like malnutrition and its probably because I haven't been able to eat enough due to feeling sick. They told me my baby had a strong heartbeat and was fine- not to worry because baby will get the first of everything.
    Now, I've gotten home, told my family and they're being SO MEAN about it. Saying how could I possibly be starving if I look like a do (ill attach a photo to prove I'm not a beached whale or anything! geewhiz!) and that they think my doctor is blowing this out of proportion. It hurts to feel like they aren't taking this serious and even making fun of me in the process. THEN I made the mistake of googling the situation and it said that high levels of ketones CAN hurt the baby- even lowering their IQ. I know this sounds ridiculous but this is something that really bothers me because my husband is a Dr. of Mechanical Engineering and in Mensa and I feel like I'm carrying this baby that has a chance to really make an impact and I'm screwing it up! I just want to know why the doctor didn't tell me that this situation is dangerous to baby. I just feel so alone and was hoping there is someone out there that may know more info on this on a personal level.
    Below: me at my current state

  2. Augie

    AWWWW. Family can be SO mean sometimes!!! I know it's SO hard, but try not to worry about the baby. I'm sure that everything will be just fine.

  3. MeowPurr32

    You are stunning and I don't think it's possible you weight anywhere near 192 lbs.? (Confused.) You don't look like it at ALL; you look amazing! Your family must not understand the serious nature of what you told them. I hope you can find some support from at least one or two of them. Anyone with a medical background in your family or group of friends who you can talk to? Perhaps they just need to be more educated about it. You could print out information for them to read. I'd tell them they hurt my feelings, and explain why, and give them the information. Glad you're getting good medical care now. Don't worry about those who aren't supportive, hon. Focus on your health and your baby.

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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

Acidosis: Causes, Symptoms, & Treatments

Acidosis is a health condition that occurs when your blood or body tissues become too acidic. This situation usually happens when your body produces too much acid or doesnt eliminate acid quickly. You can also develop acidosis when your body doesnt have enough bases to counter the amount of acid in your body. Your doctor can detect the condition by measuring your bloods pH. If the pH is too low, then there is a good chance that you have acidosis. Acidosis occurs when your bloods pH level falls below 7.35. Your bloods pH should stay between 7.35 and 7.45. Thats a pretty narrow window, so even slight disruptions can cause health problems. You may remember from your high school chemistry class that the lower a substances pH is, the more acidic it is. If a substance has a pH level lower than 7, then it's considered an acid. A substance with a pH level higher than 7 is called basic. Typically, you dont have to do anything to keep your pH in the normal range. For some people, though, acidity becomes a problem. People can get two types of acidosis: respiratory and metabolic. You can get respiratory acidosis when too much CO2 accumulates in your body. Typically, your lungs can eliminate e Continue reading >>

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  1. RawNut

    Humans are unique in their remarkable ability to enter ketosis. They’re also situated near the top of the food chain. Coincidence?
    During starvation, humans rapidly enter ketosis; they do this better than king penguins, and bears don’t do it at all.
    Starvation ketosis
    Humans maintain a high level of functionality during starvation. We can still hunt & plan; some would even argue it’s a more finely tuned state, cognitively. And that’s important, because if we became progressively weaker and slower, chances of acquiring food would rapidly decline.
    Perhaps this is why fasting bears just sleep most of the time: no ketones = no bueno..?
    Observation: chronic ketosis is relatively rare in nature. Angelo Coppola interpreted that to mean animals may have evolved a protective mechanism against ketosis (if you were following along, please let me know if this is a misrepresentation).
    But I think that is misguided. Animals with a low brain/carcass weight ratio (ie, small brain) don’t need it. Babies and children have a higher brain/carcass weight ratio, so they develop ketosis more rapidly than adults. Is this a harmful process? No! It’s an evolutionary adaptation which supports the brain.
    The brain of newborn babies consumes a huge amount of total daily energy, and nearly half comes from ketones. A week or so later, even after the carbohydrate content of breast milk increases, they still don’t get “kicked out of ketosis” (Bourneres et al., 1986). If this were a harmful state, why would Nature have done this? …and all those anecdotes, like babies learn at incredibly rapid rates… coincidence? Maybe they’re myths. Maybe not.
    Ketosis in the animal kingdom
    Imagine a hibernating bear: huge adipose tissue but small brain fuel requirement relative to body size and total energy expenditure. No ketosis, because brain accounts for less than 5% of total metabolism. In adult humans, this is around 19-23%, and babies are much higher (eg, Cahill and Veech, 2003 & Hayes et al., 2012).
    A possible exception to this is ruminant ketosis, but that’s for a different reason. They become ketotic because: 1) their gut turns much of what they eat into a ketogenic diet; and 2) this frequently happens during lactation, which combines very high energy expenditure and an enhanced draw on the oxaloacetate pool to make lactose.
    Whales? Nope. Despite eating for like, 1 month out of the year, they don’t develop ketosis.
    Snakes will enter ketosis, not due to high brain needs per se, but likely because even though small brain, total energy expenditure is so low that brain metabolism easily surpasses the [theoretical] 5% threshold (McCue 2006):
    Fasting baby elephant seals get ketotic, because their babies (Castellini and Costa, 1990):
    Hypercarnivores (eg, cats) don’t develop ketosis on very low carb diets, like humans would, which seems to be due to their inability to down regulate protein catabolism (urea cycle takes care of the nitrogen; gluconeogenesis the carbon)… but they will do so readily during starvation because of relatively big brains (Blanchard et al., 2002):
    Similar to cats, dolphins are carnivorous and also exhibit what appears to be a pathological inability to reduce protein catabolism when necessary. However, unlike cats, dolphins fail to develop ketosis of any sort, whether it’s on their typical low carb diet of fatty fish, or even complete starvation!
    Dolphins are the exception to a lot of rules. I don’t know why. Most animals with big brains have the ability to enter ketosis, but none do it as well as humans.
    Historically, while intermittent or cyclical ketosis was likely more common than nutritional [chronic] ketosis in humans, this doesn’t mean one form is better than another. Common =/= optimal.
    Starvation ketosis isn’t nutritional ketosis, but much of what we know about the latter stems from our understanding of the former… this is getting better, with more and more studies of longer and longer durations being published regularly. And hint: chronic ketosis doesn’t dissolve bones, deteriorate cognitive function, or break your metabolism.
    Are ketones the brain’s preferred fuel?
    Well, let’s just say this: when there are more ketones than glucose, brain uses more ketones than glucose. This happens in both starvation and nutritional ketosis.
    Ketosis proportionately spares glucose utilization in the brain (Zhang et al., 2013)
    If ketones were harmful, Nature would’ve surely devised a way to protect the brain!
    Disclosure: I’m not keto, not even very low carb in the summer really, so this obviously isn’t some sort of confirmation bias or logic fail or whatever you call it. I don’t practice what I preach. Sue me.
    Most of the time, I advocate a plant-based low-carb Paleo-like diet for health; keto if obese insulin resistant. High[ish] protein for all (ymmv). Seasonal when possible.
    Impact of ketones on cognition
    Would our ability to plan and set traps to acquire food, or quickly devise a strategy to escape predation have been negatively impacted during periods of intermittent or cyclical ketosis? I think not; more likely the opposite. And while I [still] believe the physical feats required to do these is not hindered after ketoadaptation, I also [still] believe it’s because we *out-smarted* them, not out-ran them. Compared to many other species, humans suck at speed.
    Some evidence:
    1. acute: in patients with moderate cognitive impairment or Alzheimer’s disease, given 40 mL MCTs to bolster ketoneshttp://ir-na.amazon-adsystem.com/e/...=1&a=B0019LRY8A: cognitive performance improved roughly in parallel with increasing ketones (Reger et al., 2004).
    2. chronic: 20 grams of Axona (purified MCTs) daily for 90 days improved cognition in people with age-associated memory impairment (Constantini et al., 2008).
    3. cruel and unusual: expose a group of type 1 diabetic patients to experimental hypoglycemia and give half 40 grams of coconut oilhttp://ir-na.amazon-adsystem.com/e/...=1&a=B003OGKCDC (which is like a longer-chained version of MCTs) (Page et al., 2009). Result? Hypoglycemia impairs cognition; however, this is largely offset by increasing ketones with coconut oil. This group experienced improved: 1) verbal memory; 2) delayed verbal memory; and 3) verbal memory recognition.
    4. nutritional ketosis: 6 weeks of a bona fide ketogenic diet in patients with mild cognitive impairment = improved verbal memory performance, and this positively correlated with ketones (Krikorian et al., 2012).
    Optimal, harmful, or somewhere in between? You decide (but if you choose harmful, please provide a link! or at least explain why, very clearly…)
    Hint: nutritional ketosis isn’t harmful. FOR. FIVE. YEARS… 1) that’s not cyclical or intermittent ketosis; and 2) five years is probably much longer than the diet you’re following has been tested for “safety.”
    Ketones in evolution
    Without our ability to rapidly enter a robust state of ketosis, we wouldn’t be here, or we’d be some weaker subhuman species. But ketones have been around for a while… some bacteria store energy in the form of poly-beta-hydroxybutyrate. Some prokaryotes use ketones instead of triacylglycerols. Archaea also use ketones; and they’ve been around for billions of years… it’s estimated that we’ve been doing it for quite a long time, too (from evidence on when our brain would’ve surpassed the [theoretical] threshold). I’d cite a study by George Cahill here, and maybe you’d read it. But you should really read all of the studies by George Cahill (it’s not a-whole-lot). Sorry, I know that sounds ‘preachy.’
    Would ketosis have hindered our ability to hunt prey and avoid predation? My thoughts on our ability to perform high intensity physical activity after ketoadaptation have been thoroughly expressed in the past. And ketosis clearly doesn’t hinder cognitive functioning.
    So, from both a mental and physical perspective, ketosis, chronic or otherwise, did not stop us from becoming who we are. Indeed, it probably contributed to how we did so. Well, that and seafood.

  2. keith v

    Wow thanks Rawnut, that was very interesting.
    It especially makes mouse studies suspect due to the mouses small brain

  3. teaser

    An aspect to this that I find interesting is the idea that ketones spare fat. An animal like an elephant seal with its relatively smaller brain and larger fat mass can afford to fuel its glucose cycle from glycerol almost exclusively. If we wanted to do the same trick, and needed 100-125 grams of glucose a day to fuel our brains--at around ten percent of triglyceride calories as glycerol, we'd have to burn through 4000-5000 calories of fat a day during complete starvation, obviously not a good strategy for a person with what used to be "normal" fat stores.

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Chapter 17 Questions

Increasing respiratory rate and depth when CO2 levels in the blood are high, reducing acid load A patient has the following arterial blood gas results: PH 7.52, paCO2 30, HCO3 24, The nurse determines that these results indicate? You are admitting a patient with complaints of abdominal pain nausea and vomiting. A bowel obstruction is suspected. You assess this patient for which anticipated primary acid-base imbalance if the obstruction is high in the intestine? (because gastric secretions are rich and hydrochloric acid, The patient who is vomiting will lose a significant amount of gastric acid) You are caring for a patient admitted with an exacerbation of asthma. After several treatments the ABG results are: PH 7.40, paCO2 40, HCO3 24, paO2 92, and O2 saturation of 99%. You interpret these results as? You are caring for a patient admitted with a diagnosis of COPD Who has the following ABG results: PH 7.33, paO2 47, paCO2 60, HCO3 32, and O2 saturation of 92%. What is the correct interpretation of these results? Partially compensated respiratory acidosis Continue reading >>

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  1. djaypete

    Hey all,
    I've been lowish carb for the better part of 2 or 3 years. I've always intuitively known that, as soon as I start overeating starchy and sugary carbs, I gain fat like crazy. As long as I keep my carbs in check most days of the week, I pretty much just maintain without having to consciously restrict calories.
    Been trying to lose weight since January, so I went low carb with some moderate success. I've known about keto for a little while, but after researching it, I really want to give it a go to get past this plateau. Up until now, I've controlled my carbs fairly well but have probably been eating to much protein and too little fat to be keto
    I know that I generally just feel better and have less problems (not gassy, more stable energy, etc) when I'm low carb, but I'm curious, for anyone that's keto-adapted, what changes did you notice? Do you feel different than just generally being low carb or even different from being in Ketosis? From what I read here on the forums, being in ketosis and being keto-adapted are two different things, the latter taking longer to get into. I'm sure I'm in ketosis (straight keto for a week now + lifting) but doubt I'm adapted yet. From what I understand, this will take a few weeks. Did anyone notice anything different once you became truly adapted vs ketosis or just being low carb most of the time?
    Thanks in advance,

  2. DownhillYardSale

    From what I read here on the forums, being in ketosis and being keto-adapted are two different things, the latter taking longer to get into.
    Did anyone notice anything different once you became truly adapted vs ketosis or just being low carb most of the time?
    You'll notice it in your athletic performance more than anything else I think.
    Every person is different.
    My performance suffered but then my endurance went through the roof. I do not get tired in the afternoons. I am more alert, more on point. Eating carbs fucking DRAINS me. I mean, drains me if I'm not immediately burning it off.

  3. anbeav

    Most notice improved satiety, reduced hunger such that they can go long periods without eating and have sustained energy. As for exercise, you'll likely notice any loss of performance return.
    If you search, there are many threads on this topic if you wanted more experiences
    It can take up to 8-12 weeks, most feel different in 4-6 weeks

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