Hydrogen Ions Dka

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How to use the Autoject 2 for your diabetic dog.

Difficult Diabetic Ketoacidotics - Bsava2012 - Vin

School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA Diabetic ketoacidosis (DKA) is a severe form of complicated diabetes mellitus (DM) which requires emergency care. Ketones are synthesised from fatty acids as a substitute form of energy, because glucose has not effectively entered into the cells. Excess ketoacids result in acidosis and severe electrolyte abnormalities, which can be life threatening. The median age of dogs with DKA is 8 years (range, 8 months to 16 years). Specific breed or sex has not been shown to increase the risk of DKA in dogs. Concurrent disease increases the risk of DKA, as does the state of newly diagnosed, yet untreated, DM. Clinical Signs and Physical Examination Findings Clinical signs and physical examination findings may be attributed to chronic untreated diabetes mellitus, presence of concurrent disease and the acute onset of DKA. The most common clinical signs of dogs with DKA are polyuria and polydipsia, lethargy, inappetence or anorexia, vomiting and weight loss. Common abnormalities noted on physical examination of dogs with DKA are subjectively overweight or underweight body condition, dehydration, cranial organomega Continue reading >>

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  1. Mrs.Christie

    Anyone know if Walgreens usually carries pH testing strips? If so, here would I look in the store? The sales associates at my local Walgreens are pretty much useless.

  2. blessednewmomma

    They may not carry them regularly, but if you ask the pharmacy they might be able to order them for you. I use to work at a retail pharmacy and sometimes that stuff was available through their wholesalers.

  3. alicia11780

    DH is a pharmacist for Walgreen's and said that they do not carry PH testing strips. He said that the only place he could think of is a lab supply company but not any retailers.

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high b

Diabetic Ketoacidosis - [email protected] [email protected]

Posted by Carla Rothaus February 6th, 2015 The latest review in the Fluids and Electrolytes series focuses on the safe removal of excess hydrogen ions, the administration of sodium bicarbonate, and the possible contribution of intracellular acidosis to the development of cerebral edema in patients with diabetic ketoacidosis .Several of the issues facing clinicians who care for patients with diabetic ketoacidosis are related to acid-basedisorders. How do changes in extracellular fluid volume affect assessment of the severity of diabeticketoacidosis? Because of hyperglycemia-induced osmotic diuresis and natriuresis, patients with diabetic ketoacidosis usually present with a marked contraction of the extracellular fluid volume. This factor affects the assessment of their acid-base status and in some cases their therapy. Determination of the severity of metabolic acidemia is usually based on the extent of the decrease in the plasma bicarbonate concentration. Nevertheless, as shown in the equation below, the plasma bicarbonate concentration may be only moderately reduced when there is both a large deficit of bicarbonate in the extracellular fluid and a severe contraction of the volume Continue reading >>

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  1. NicNic

    I was admitted to hospital a few weeks ago with ketoacidosis. It gave me a bit of a shock and I'm now controlling my levels much better than I had been recently. However, this (I think) is making me gain weight. Any ideas on when weight gain might stop?? (I've put on nearly a stone in 4 weeks.) I'm not overweight (at all!) but am a little obsessive about my weight/size. Thanks for help and advice!!

  2. xxlou_lxx

    Might depend on 2 things really, one being how long you had DKA and how much you actually lost through having it. I guess you will put on what you lost because your body is getting back to normal again, but unless you have changed your eating habbits then thats all you should gain i would think?

  3. randomange

    It's apparently quite common to put weight on when your control improves. The reason (to quote my DSN) is that you're no longer peeing a whole load of sugar down the toilet! If your levels were particularly high before, then a lot of the calories you were taking in weren't actually being used by your body, but once your insulin levels are right(ish ) and your blood sugars start to come down, then your body can actually process these calories properly again.

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In this episode we go through the study: The relationship between lactate and thiamine levels in patients with diabetic ketoacidosis. Moskowitz A, Graver A, Giberson T, Berg K, Liu X, Uber A, Gautam S, Donnino MW. J Crit Care. 2014 Feb;29(1):182.e5-8. doi: 10.1016/j.jcrc.2013.06.008. Epub 2013 Aug 28. PMID: 23993771 http://www.ncbi.nlm.nih.gov/pubmed/23... www.atdigfrisk.eu

Relationship Between The Concentration Of H+-ions And The Efficiency Of Insulin In The Treatment Of Diabetic Ketoacidosis.

Relationship between the concentration of H+-ions and the efficiency of insulin in the treatment of diabetic ketoacidosis. Ionescu-Trgovite C, et al. Endokrinologie. 1980. The efficiency of insulin (decrease of the blood glucose per unit of insulin administered) was assessed in 610 cases of diabetic ketoacidosis (316 females, 274 males, aged 3 to 72 years) in terms of the degree of plasma acidemia. The 610 cases were grouped into 4 ketoacidosis stages, defined according to pH values as incipient, pH > 7.35 (77 cases); moderate, pH 7.31-7.35 (163 cases); advanced, 7.21-7.30 (160 cases); severe, pH < 7.20 (210 cases). The mean [H+]-ion concentration recorded on admission in the 4 stages of ketoacidosis was 41 nEq/1, 46 nEq/1, 53 nEq/1, and 91 nEq/1, respectively. The efficiency of insulin for the first 2 hours of treatment (interval during which acidemia was only partly corrected) was comparable in the four ketoacidosis stages, i.e. 31.1 mg/l, 32.9 mg/l, 29.5 mg/l and, respectively 28.9 mg/l per unit of insulin injected as a bolus. The somewhat lower efficiency of insulin in the advanced and severe cases of ketoacidosis appears to be due to vascular collapse encountered in 38 cases Continue reading >>

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  1. Boykinbaby

    Has anyone done this? I was thinking of giving it a try, cutting my carb intake way back and getting them mostly through green veggies and less dense "starch" veggies and hardly any fruit. My girl is 9 months and still breastfeeding, solids not even enough to consider part of her nutrition yet. Of course I'll up my fat and protein consumption to compensate but advice, tips, ect are greatly appreciated

  2. Renee Lee

    For what purpose would you be consciously entering ketosis for a long period of time? What do you hope to accomplish?

  3. Bethany Lannon

    I'm ebf my 5-month old daughter & I'm also almost to my peak mileage weeks of my marathon training cycle. I have been limiting my starchy veg carbs and fruits, mostly due to wanting to lose fat/gain muscle and also thanks to a carb-phobia I'm still fighting. I'm not sure if its the high running mileage, low carbs (I usually get anywhere from 90-125 carbs per day), or a combination of the two factors but my daughter's weight gain has plummeted. She's still gaining, but lets just say that as of today, she's gained less than 4 lbs since birth, and she's 5 months old. They didn't tell me her weight %ile today, but at her 4-month checkup, it was down to 8.6%. And she only gained 6oz in the last month. So, I'm reluctantly increasing my carbs... I'm going to aim for consistently 150g carbs per day and see if that helps her.
    Obviously with your baby being older, you could get away with cutting carbs *as long as* you start implementing more solids into Baby's diet. My daughter has either butternut squash or avocado 2x per day after nursing, but she's going up to 3x per day as of today (if her weight isn't up more next month at her 6mo visit, they'll talk more about intervening at that point). So, if your baby's primary calories are only coming from you, I'd suggest either holding off on dropping the carbs or implementing more solids to baby's diet first.

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