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Can You Have Metabolic Acidosis And Alkalosis At The Same Time?

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10. Acid Base Tutorial - Barnes

TRUE or FALSE: ABG goes in through the femoral artery TEST: What is the general equation for pH in terms of hydrogen ions? As hydrogen ion concentration goes down, the pH goes (up/down) and causes the blood to be (acidemic/alkalemic) TEST: What is the MAIN buffer system in our body that keeps our blood pH stable? TEST: As hydrogen ions increase in our blood, the bicarbonate buffer system causes a build up of more _____ which is excreted by our _______ As hydrogen ions increase in our blood, it builds up more CARBON DIOXIDE which is excreted by our LUNGS This is the RESPIRATORY side of the buffer system TEST: As carbon dioxide levels in our blood increases, the bicarbonate buffer system causes a buildup of ____ and ______ (ions) that is excreted by our __________ As carbon dioxide levels in our blood increases, it causes a buildup of H+ and HCO3- that is excreted by our KIDNEYS This is the METABOLIC side of the buffer system TEST: What is the equation for pH in terms of the bicarbonate buffer system and the Henderson-Hasselbalch equation? As HCO3 levels increase, pH will (increase/decrease) More bicarbonate means less hydrogen ions as the buffer system shifts it to the left, so pH Continue reading >>

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  1. tk421

    Sorry if this doesn't belong in this part of the forum, but it seems better here than the other places in the forum.
    I am having trouble finding a solid answer to this. Everywhere I look online tells me something different. I see some say around 50 mg/dl which I would think is totally hypoglycemic. So I don’t really believe that. I see others saying as long as you are below about 97 mg/dl. I see others that say in the 80s. Some say other things. I just want a straight answer. So I need some advice from a successful keto person.
    What is proper blood glucose levels for someone who is in ketosis? I got this blood glucose monitor and I think it may be defective or just a crappy brand. Yesterday my fasting blood glucose (after a 14 hour fast) was 83 mg/dl. Today (again after a 14 hour fast) was 97. I couldn’t believe it so I took my blood glucose again and it said 92. Then I ate exactly 3 pieces of bacon and a piece of cheese, and two hours later my blood glucose was 102. I thought WTF, so I immediately took it again and it said 109.
    So maybe I have a defective monitor (the Nova Max Plus), but regardless, there is probably at least a little bit of truth to it. But I seriously eat 25 grams or less of carbs per day. Usually less.
    Could someone please explain glucose levels to me in regards to ketosis.

  2. JBean

    In the absence of dietary carbohydrates, your body will break down fats and proteins to maintain your blood glucose in the normal range. Here's an explanation:
    https://en.m.wikipedia.org/wiki/Gluconeogenesis

  3. tk421

    Originally posted by JBean
    In the absence of dietary carbohydrates, your body will break down fats and proteins to maintain your blood glucose in the normal range. Here's an explanation:
    https://en.m.wikipedia.org/wiki/Gluconeogenesis Very interesting. Thanks for the info, that helps me a lot!!
    Cheers

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In this video I discuss metabolic acidosis! This is a part of my playlist for Acid Base Imbalance disorders. This video is perfect for the RN or LVN nursing student studying for the NCLEX or as a review for current RNs or LVNs. Easy Nursing is a channel dedicated to making quick videos aiming for 5-6 minutes long each per topic. This length is short enough to be manageable to allow for you to watch every video you need and still allow you time for reading or spending time with family. The videos are long enough to allow me to explain the material enough to hopefully prepare you for your tests and to provide patient care. These videos are great for RN or LVN nursing students preparing for the NCLEX RN or LVN. Please like this video if it helped you and subscribe for more NCLEX review videos! If you have an idea for a video you would like me to make, comment on this video! I make these videos to create a Youtube channel that I can utilize as reference for application for MSN Education programs and positions to work as a nursing educator. So please subscribe to my channel to support me in my endeavors! The information in this video is for educational purposes only and is not medical a

Acid-base Imbalance - An Overview | Sciencedirect Topics

Gary P. Carlson, Michael Bruss, in Clinical Biochemistry of Domestic Animals (Sixth Edition) , 2008 Mixed acid-base disorders occur when several primary acid-base imbalances coexist (de Morais, 1992a). Metabolic acidosis and alkalosis can coexist and either or sometimes both of these metabolic abnormalities may occur with either respiratory acidosis or alkalosis (Nairns and Emmett, 1980; Wilson and Green, 1985). Evaluation of mixed acid-base abnormalities requires an understanding of the anion gap, the relationship between the change in serum sodium and chloride concentration, and the limits of compensation for the primary acid-base imbalances (Saxton and Seldin, 1986; Wilson and Green, 1985). Clinical findings and history are also necessary to define the factors that may contribute to the development of mixed acid-base disorders. The following are important considerations in evaluating possible mixed acid-base disorders: Compensating responses to primary acid-base disturbances do not result in overcompensation. With the possible exception of chronic respiratory acidosis, compensating responses for primary acid-base disturbances rarely correct pH to normal. In patients with acid-b Continue reading >>

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  1. MAYS

    Metformin Induced Lactic Acidosis! ... It can happen to anyone!

    How many questions do you ask your doctor, pharmacist or medical team concerning your nedications?
    How much in the way of research do you do on your own pertaining to medications and treatment that has been prescribed, or administered unto you?
    Let's talk about the diabetes medication, "Metformin" and a serious complication that it can cause called " Lactic Acidosis" in some people.
    What is Metformin induced Lactic Acidosis?
    http://diabetes.emedtv.com/metformin/metformi...
    Diabetic Connect family member "granniesophie" sent me this message, which I am sharing with everyone here (with her permission) concerning "Metformin and Lactic Acidosis" from a very personal perspective, her very own words!
    " I have to sit on my hands everytime a Metformin discussion comes up! I have just been diagnosed, after 4 months of tests and pain and losing 20 pounds for no reason and 2 different doctors not having a clue until just a few days ago, with Lactic Acidosis, caused by Metformin. This is a very rare side effect wihich only affects 5% of users. I'd been on it for over 6 years now, and it just came up in June. It can be fatal if not caught in time. It has also done damage to my kidneys, which the doctors hope can be reversed.
    The FDA says this is not a side effect, and studies are out on it, but there is a black box warning on it that it can cause Lactic Acidosis in some people. I have to report it to the FDA.
    This is a dangerous drug, and I may never be 100 percent-
    I have just begun taking Lantus, since the doctor no longer wants me on any oral meds until we can assess the damage that the Met may have caused long term.
    I am one sick human and I have other meds that have been causing issues now as well, related or not. So I am being juggled on all my meds in hopes that there is no long term damage.
    Whether this gets mentioned in discussions or not (and I am not going to) people should be aware that the Gold Standard of Diabetes treatment has some darn nasty thorns."
    Sonya
    ——————————
    If you have any questions, or concerns about Metformin and Lactic Acidosis talk to your doctor or pharmacist, if you have any questions that you would like to ask "Sonya" personally concerning this you can contact her here:
    http://www.diabeticconnect.com/users/85827-gr...

  2. Mamawiggles

    Metformin can aggravate breathing. Stupid D.O. Put my dad on it! Endocrinologist took him off immediately. You see. He has copd. Put him on Lantus.

  3. Jimbo6217

    I've only been taking the drug for a week but I've already developed hives head to toe and painfully swelled hands and feet. The only kidney proems I've had are stones .

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Recognizing Mixed Acid Base Disturbances - Acvim 2008 - Vin

A proper understanding of the terms acidosis, alkalosis, acidemia, and alkalemia is necessary to differentiate simple from mixed acid base disorders.1 Acidosis and alkalosis refer to the pathophysiologic processes that cause net accumulation of acid or alkali in the body, whereas acidemia and alkalemia refer specifically to the pH of extracellular fluid. In acidemia, the extracellular fluid pH is less than normal and the [H+] is higher than normal. In alkalemia, the extracellular fluid pH is higher than normal and the [H+] is lower than normal. Due to the effectiveness of compensatory mechanisms, animals can have acidosis or alkalosis but not acidemia or alkalemia. For example, a dog with chronic respiratory alkalosis may have a blood pH that is within the normal range. Such a patient has alkalosis, but does not have alkalemia. The primary acid base disorders are divided into metabolic and respiratory disturbances: metabolic acidosis, metabolic alkalosis, respiratory acidosis, and respiratory alkalosis. The Henderson-Hasselbach equation in its clinically relevant form emphasizes the relationship between the metabolic and respiratory systems in determining extracellular fluid pH: T Continue reading >>

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  1. Tj_Slattery

    Here are my 90 day pics. Down 22# but have literally been stuck there for 3 weeks.

    Can't deny the progress but was hoping for some more consistent progress. A bit afraid of fasting, so any direction from "lifers" would be appreciated.

  2. djindy

    you should probably put this in the "Stall Point" sub category, as that's what your topic is about.

    In any case, can you provide some more information about what you are doing?
    Are you tracking what you eat, macros, etc?
    Have you adjusted what you eat based on your new bodyweight/lbm etc?

  3. Fiorella

    You will continue to lose with keto, just at a slower pace. Hitting plateaus, and then seeing another weight reduction is very common. But, it takes patience. Some people have to wait weeks or months to see the needle move again. This is because your body is "moving furniture around" if I may use that analogy.
    To move the needle much faster, fasting is employed to set autophagy at a more rapid pace. For instance, your body needs to now get rid of the extra skin that went around your tummy. With keto alone, it is slower. By fasting, the autophagy of the unneeded skin cells is accelerated.
    Here's the diagram at this link
    227 that I use to express this sort of dynamic. The longer the fasting window, the more weight loss. And then keto helps to sustain your weight loss. If the only fasting you are doing is a couple of hours between meals, then the rock is barely rolled up the hill. A longer fasting window induces greater weightloss, and then you can use keto to sustain your loss.

    So, the question becomes this: are you okay with slow weightloss, or do you want a more rapid approach to your target weight? Either answer is ok. Just need to be honest with yourself with what you want to do. It is completely normal to plateau on keto, and then experience slower weightloss. But, you need to be ok with this. If not, then fasting is another strategy you may want to try.

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