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How Do You Treat Respiratory Acidosis?

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Ph Of The Blood - 7 - Treatment - M J Bookallil

e.g. correct hypoxia or shock if they are causing hyperventilation. This can be corrected by administering CO2, increasing the dead space or lowering the minute ventilation. These measures will rarely be thought to be necessary. Stop alimentary loss of base; correct hypoxia; reduce renal acid load by diet; drain abscess in diabetic ketosis and give insulin (see 7.3.2.2.3, ketoacidosis ) ; treat shock with intra-venous fluids and stop haemorrhage etc (see 7.3.2.2.2.2, shock ) . If the acidosis is (a) not affecting the cardiac action and (b) renal function is adequate, the acidosis may be corrected by giving sufficient NaCl (Na+ + Cl-) solution for the kidney to (i) correct the acidosis by excreting HCl (H+ + Cl-) or NH4Cl (NH4+ + Cl-) and (ii) repair any deficit in E.C.F. volume. This approach applies in alimentary causes of metabolic acidosis where the kidneys are usually able to correct the defects if enough saline is given (Hesse et al, 1966). Correction may be more rapid if Hartmann's solution rather than 0.9% NaCl solution is given to correct the pH disturbance as there is less for kidney to do. The lactate ion has to be converted to HCO3- and some H+ + Cl- will have to be exc Continue reading >>

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  1. Stephanie A.

    Help!
    I love PB and will lose steadily in ketosis... but I suffer from terrible insomnia. It takes a long time to fall asleep, I don't sleep soundly and wake up multiple times a night getting only around 4 hours of sleep. This will go on for weeks... until I eat more carbohydrate, kick myself out of ketosis and weight loss stalls.
    How do I continue to lose weight, get the great benefits of PB and sleep? It only takes about 80g - 100g of carbs a day for me to stop losing. Plus, it is hard to get that much from veggies. Adding in more than 1/2 cup of berries a day or adding starch brings the binge monster out. For me the carbs are more of an all or nothing proposition. I feel great at 40-50 net a day from one small fruit serving and the rest from veggies.
    Background: 46, female, BMI just fell below 30 last week (yay!). I have lost 70+ pounds over the last 14 months or so with another 40-50 to go. I am extremely carb sensitive both relative to weight and food reward/binge cycle eating.
    Is anyone else experiencing the same thing? Has anyone figured out the answer? After about 10 days of poor sleep, I get pretty cranky and have trouble focusing at work.
    Thanks much!

  2. quelsen

    magnesium, vitamin d, sodium. check those

  3. namelesswonder

    Have you tried non-fruit options to increase carbs, like the occasional serving of white rice or some starches like sweet potato? Plenty of winter squash options as well, as those are fairly high-carb. Maybe this will not trigger a binge as much, since there's less sugar than fruit.

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Acid-base Tutorial - Respiratory Correction

by "Grog" (Alan W. Grogono), Professor Emeritus, Tulane University Department of Anesthesiology Acid-Base Therapy: Respiratory Correction The objective is to restore the PCO2 to its customary position for that patient which, for someone with chronic lung disease, will be higher than PCO2 = 40 mmHg (5.7 kPa). Emergency therapy: The body's metabolism produces respiratory (carbonic) acid and, in cardiorespiratory failure also produces metabolic (lactic) acid. In emergencies, therefore, it is usual to find that correction is required for metabolic or respiratory acidosis. For this reason, and in the interest of simplification, the following paragraphs primarily discuss acidosis and its correction: Respiratory acidosis. A physician decides to ventilate a patient to reduce the PCO2 level based on exhaustion, prognosis, prospect of improvement from concurrent therapy and, only in part, on the PCO2 level. Once the clinical decision is made, the PCO2 helps calculate the appropriate correction. The PCO2 reflects the balance between the production of carbon dioxide and its elimination. Unless the metabolic rate changes, the amount of carbon dioxide produced is roughly constant and determines Continue reading >>

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  1. Iceman85

    "Cheat" Meal...?

    How distructive to a keto diet is it if you have a cheat meal? Is it ok? This meal would be during a carb up day if that is any different.

  2. BiologyBabe

    depends on how much carbohydrate you eat on your cheat day, dont go nuts, it'll take about 3 days to totally deplete and put you back into actual ketosis; your heavy carb cheat day may cost you several days of ketosis.
    Not the greatest state for the body to walk around in at all... but it belongs to you.

  3. Iceman85

    I'm not talking cheat day. I'm just talking if I want to go out to dinner with friends and I have a meal that isn't good for a keto diet. I take it since you said a "cheat day" takes 3-4 days to deplete that a meal wouldn't do all that much if anything (depending on the amount of carbs in the meal)...Right?

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Treatment Of Acute And Chronic Respiratory Acidosis With A Volume-cycled Respirator.

Treatment of Acute and Chronic Respiratory Acidosis with a Volume-cycled Respirator. Stephen N. Ayres, M.D. (Associate); Stanley Giannelli Jr., M.D.; Antoinette Criscitiello, R.N., M.S.; Ruth G. Armstrong, R.N., B.S. This content is PDF only. Please click on the PDF icon to access. Respiratory acidosis can be treated best by a mechanical ventilator that both increases alveolar ventilation and decreases respiratory work and carbon dioxide production. The low flow oxygen method is ineffective and dangerous; recent studies suggest that pressure-cycled intermittent positive pressure breathing devices may be ineffective in ventilating patients with markedly abnormal lung or chest wall compliances, since the required pressures may be impossible to attain in such patients. Analysis of blood gas and expired air in 13 patients with acute or chronic respiratory acidosis demonstrate the advantages of a volume-cycled piston respirator (Morch) over a pressure-cycled respirator. Most striking is Continue reading >>

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Popular Questions

  1. Amandajule

    So, I have been on keto for a little over a month. I have gained, not lost weight. A side note, I have hypothyroidism, i take T3 and 4 daily.
    What I've tried so far: Increased water (Almost a gallon per day) Decreased Dairy (little cheese weekly, no milk in my coffee, coconut milk in recipes etc) Increased lean meats (Chicken, tuna, turkey etc) I do not drink/use artificial sweeteners (Unless in a "dessert" recipe) I work out (Body pump twice a week, jogging, 1-2x a week, spinning, once a week and I ride my bike with my daughter to school) My husband (a huge keto advocate) is encouraging me not to give up and says I am just gaining lean muscle.... I don't know, I am getting pretty frustrated. I weigh over 200lbs at 5'5 and I am size 12/14- so I have a lot to lose. Am I missing something? Does anyone have any tips?

  2. Oggie81

    The biggest advice I can give anyone starting is to get a food scale. My perception of 8 ounces and the reality of 8 ounces are vastly different...

  3. Amandajule

    Okay, I do not have one. I utilize my fitness pal to track calories, exercise and nutrients. I will invest in a food scale.

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