Compensated Vs Uncompensated Respiratory Acidosis

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Partially compensated vs fully compensated abgs (arterial blood gas) interpretation NCLEX review for nurses. Learn how to distinguish partially or fully compensated arterial blood gas results using the tic tac toe method. The tic tac toe method can be used to interpret the arterial blood gas problems you will encounter on nursing lectures exam along with the NCLEX exam. After setting up the ABG problem with the tic tac toe method, you will be able to tell if the disorder is a respiratory or metabolic issue, alkalosis or acidosis, and fully, partially, or uncompensated. Don't forget to watch the other arterial blood gas videos along with the acid-base imbalance series: https://www.youtube.com/playlist?list... Quiz: http://www.registerednursern.com/abg-... Notes: http://www.registerednursern.com/part... Facebook: https://www.facebook.com/RegisteredNu... Instagram: https://www.instagram.com/registeredn... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Check out other Videos: https://www.youtube.com/user/Register... All of our videos in a playlist: https://www.youtube.com/watch?v=pAhHx... Popular Playlists: NCLEX Reviews: https://www.youtube.com/playlist?list... Fluid & Electrolytes: https://www.youtube.com/playlist?list... Nursing Skills: https://www.youtube.com/playlist?list... Nursing School Study Tips: https://www.youtube.com/playlist?list...

Partially Compensated Vs. Fully Compensated Abgs Practice

This is an NCLEX practice question on partially compensated vs fully compensated ABGs. This question provides a scenario about arterial blood gas results. As the nurse, you must determine if this is a respiratory or metabolic problem, alkalosis or acidosis along with if it is uncompensated, partially or fully compensated based on the results. This question is one of the many questions we will be practicing in our new series called “Weekly NCLEX Question”. So, every week be sure to tune into our YouTube Channel for the NCLEX Question of the Week. More NCLEX Weekly Practice Questions. To solve ABGs problems, I like to use the Tic Tac Toe method. If you are not familiar with this method, please watch my video on how to solve arterial blood gas problems with this method. The Tic Tac Toe method makes solving ABG problems so EASY. However, if the ABG values are partially or fully compensated you must take it a step further by analyzing the values further with this method, which is the purpose of this review. My goal is to show you how to use the Tic Tac Toe method for partially and fully compensated interpretation. So let’s begin: NCLEX Practice Questions on Partially vs. Fully Com Continue reading >>

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  1. teamzissous

    I made a post a little while back about having consistent bladder and or kidney pains whenever I was in ketosis. It took a while to correlate the pain with low carb (originally thought I may have a hernia, even a doctor thought so and ordered a CT scan, found nothing and gave up on me)
    One redditor (THANK YOU SoftwareMaven) suggested an acidic urine pH. After charting my pain and testing my urine with rapid response urinalysis strips I found that my urine was much too acidic, and it correlated with the pain.
    Apparently ketones tend to make your urine more acidic and you HAVE to balance out your protein/meat intake with alkalizing vegetables (fruits really help too) I've been following the PRAL food lists in order to help keep my urine more alkaline.
    It was also suggested that I try adding some baking soda (sodium bicarbonate) to some water if I was eating a particularly acidic forming meal, and IT WORKS!
    There are also some supplementary benefits of baking soda according to examine.com, it has the same benefits of supplementing with beta alanine (reduces muscle burn when taken 60-90 min before a workout) They also note that a study has shown it has no significant effect on your blood pressure, good to know.
    note: I make a point to drink a TON of water, but it is not sufficient to balance out my urine pH.
    TL;DR Thank you SoftwareMaven! Ketosis can make your urine too acidic causing kidney/bladder pain. Eat more alkalizing vegetables (and/or fruit). Also drinking baking soda and water with your acidic forming meal can also keep your pee balanced.

  2. emag

    It's interesting that acidic foods like lemon juice, orange juice, tomatoes, and vinegar all exert a base effect...

  3. happee

    What about coffee? It's pretty acidic, would it exert a base effect as well?

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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. Scouser

    I started the Atkins diet at the beginning of the year and I am making slow progress. During the induction phase I lost 6 lb in this first week and then nothing after that. The second week I stayed the same weight and at time appeared to gain a pound or two and lose a pound or two! The whole time this was happening I was using the urine analysis strips ( and still am) and it was showing during the whole time I was producing a moderate to large amount of ketones! It has been a month now and I feel like I should be making more headway in this. Over the past month I have lost an additional four pounds (but I don't really count it because I have been known to put it on again some time in the week and then just stay at that weight). I have not increased my carbs from the inital amount suggested in the induction phase. I am concerned that I am not able to lose. I work out everyday (either yoga or step) for about 40 minutes, although I do have a desk job. Has this happened to anyone else? If so, what can I do?

  2. AngelaR

    It's normal to slow down after the induction period is over. Your body is thinking baout what is going on and trying to adjust. You are also exercising whish is replacing fat with lean muscle, and muscle weighs more than fat.
    Have you taken measurements? Sometimes you don't lose pounds, but you lose inches.
    The big question is, How much water are you drinking?
    Also, what are you eating? Are you eating any of the things that would slow you down? Are you eating foods that have hidden carbs? If you start a journal in the Bootcamp/Journals section, and post this kind of info regularly, then it will be easier for people to take a look at your patterns and give you some guidance.

  3. Natrushka

    Scouce, welcome to the forum.
    The first thing that comes to mind is are you drinking enough water and are you eating enough food. You should be drinking at the very minimum 64 oz of water a day (water, water and more water - anything else you drink should be above and beyond this). Guidlines for calories are 10 - 12 times your body weight a day - eating too little will stress your body and force it to hold onto fat and water. Put the two together and slow or nonexistant fat loss is not surprizing.
    Starting up a Journal in the Bootcamp section might be a good idea - just to give us some idea of what you've been eating and drinking. Remember to include quality and quantity! You might also be interested in checking out www.fitday.com It's a free online site that lets you keep track of fat/protein/carbs etc. It is usually a very eye opening experience.
    Hope to hear more,

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(fully compensated, uncompensated,& partially compensated) tick tack toe trick

Compensated Respiratory Acidosis

Definition In a compensated respiratory acidosis, although the PCO2 is high, the pH is within normal range. The kidneys compensate for a respiratory acidosis by tubular cells reabsorbing more HCO3 from the tubular fluid, collecting duct cells secreting more H+ and generating more HCO3, and ammoniagenesis leading to increased formation of the NH3 buffer. Compensated respiratory acidosis is typically the result of a chronic condition, the slow nature of onset giving the kidneys time to compensate. Common causes of respiratory acidosis include hypoventilation due to: Respiratory depression (sedatives, narcotics, CVA, etc.) Respiratory muscle paralysis (spinal cord injury, Guillan-Barre, residual paralytics). Chest wall disorders (flail chest, pneumothorax) Lung parenchyma disorders (ARDS, pneumonia, COPD, CHF, aspiration) Abdominal distension (laporoscopic surgery, ascites, obesity, etc.). Subspecialty Keyword history Similar Keyword: Respiratory acidosis: Compensation Sources Miller’s Anesthesia, 7th ed. Ch. 49. PubMed Continue reading >>

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  1. TKInstinct

    I got out of the hospital yesterday, I had food poisoning and got admitted for Ketoacidosis. I feel a lot better now but, I'm in a little discomfort. My stomachs bothers me somewhat after I've eaten and I'm a little uneasy when I'm walking. I was in bed for a day and a half so I'm sure I'm just weak. But, did you recover right away or, did you take a day or two?

  2. hide

    Every time I'm in the hospital for DKA, I start to feel better around day 3. They never let me leave until day 5-7 though. :| So glad the last few times they've had wifi to watch Netflix on.


    3 days from start of IV fluids. When you get home, try to drink water instead of your usual fluids for a day or so. I find it helps get me back on track faster. Also, keep an eye on your BG a bit tighter for a few days after. The whole DKA resolution treatment and IV fluids can alter the way your BG floats (in some interesting ways) until you get back into your normal groove/routine.

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  • What Is Compensated Respiratory Acidosis?

    (Video) Overview of Acid-Base Maps and Compensatory Mechanisms By James L. Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincents Ascension Health, Birmingham Respiratory acidosis is primary increase in carbon dioxide partial pressure (Pco2) with or without compensatory increase in bicarbonate (HCO3); pH is usually low but may be near normal. Cause is a decrease in respiratory rate and/or volume (hypoventilation), typic ...

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  • What Is Fully Compensated Respiratory Acidosis?

    An arterial blood gas (ABG) is a blood test that measures the acidity (pH) and the levels of oxygen and carbon dioxide in the blood . Blood for an ABG test is taken from an artery whereas most other blood tests are done on a sample of blood taken from a vein. This test is done to monitor several conditions that can cause serious health complications especially to critically ill individuals. Every day, a lot of nursing and medical students assign ...

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  • Partially Compensated Respiratory Acidosis Example

    Step 4: Identify the compensatory process (if one is present) In general, the primary process is followed by a compensatory process, as the body attempts to bring the pH back towards the normal range. If the patient has a primary respiratory acidosis (high PCO2 ) leading to acidemia: the compensatory process is a metabolic alkalosis (rise in the serum bicarbonate). If the patient has a primary respiratory alkalosis (low PCO2 ) leading to alkalemi ...

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  • Compensated Vs Uncompensated Respiratory Acidosis

    Definition In a compensated respiratory acidosis, although the PCO2 is high, the pH is within normal range. The kidneys compensate for a respiratory acidosis by tubular cells reabsorbing more HCO3 from the tubular fluid, collecting duct cells secreting more H+ and generating more HCO3, and ammoniagenesis leading to increased formation of the NH3 buffer. Compensated respiratory acidosis is typically the result of a chronic condition, the slow natu ...

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  • Uncompensated Respiratory Acidosis Example

    A FOUR STEP METHOD FOR INTERPRETATION OF ABGS Usefulness This method is simple, easy and can be used for the majority of ABGs. It only addresses acid-base balance and considers just 3 values. pH, PaCO2 HCO3- Step 1. Use pH to determine Acidosis or Alkalosis. ph < 7.35 7.35-7.45 > 7.45 Acidosis Normal or Compensated Alkalosis Step 2. Use PaCO2 to determine respiratory effect. PaCO2 < 35 35 -45 > 45 Tends toward alkalosis Causes high pH Neutralizes ...

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  • Uncompensated Respiratory Acidosis

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