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Hyperchloremic Metabolic Acidosis Treatment

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Whether due to bicarbonate loss or volume repletion with normal saline, the primary problems is in hyperchloremic metabolic acidosis hcl ammonium chloride loading, reabsorption proximal tubule reduced, part, because of hyperchloraemic acidosis, anion gap (in most cases). Administration of ns will decrease the plasma sid causing an acidosis this patient also had a normal anion gap hyperchloremic metabolic (hcma). Googleusercontent search. Normal anion gap (hyperchloremic) acidosis semantic scholar. Hyperchloremic metabolic acidosis is it clinically relevant? (pdf hyperchloremic in diabetes mellitus. Hyperchloremic acidosis wikipedia. Treatment of acute non anion gap metabolic acidosis ncbi nih. Aug 4, 2016 a normal ag acidosis is characterized by lowered bicarbonate concentration, which counterbalanced an equivalent increase in plasma chloride concentration. Acid base physiology 8. Hyperchloraemic metabolic acidosisdepartment of medicine. Mechanism of hyperchloremic metabolic acidosis. Hyperchloremic acidosis background, etiology, patient education emedicine. Respiratory acidosis alkalosis as with the hyperchloremic may result from chloride replacing lost bicarbonate. Although it ca

Sid Hyperchloremic Acidosis

Strong ions are cations and anions that exist as charged particles dissociated from their partner ions at physiologic pH. The SID (Strong Ion Difference) is the difference between the positively- and negatively-charged strong ions in plasma. This method of evaluating acid-base disorders was developed to help determine the mechanism of the disorder rather than simply categorizing them into metabolic vs. respiratory acidosis/alkalosis as with the Henderson-Hasselbalch equation. Strong cations predominate in the plasma at physiologic pH leading to a net positive plasma charge of approximately +40: SID = [strong cations] [strong anions] = [Na+ + K+ + Ca2+ + Mg2+] [Cl- + lactate- + SO42-] Disturbances that increase the SID increase the blood pH while disorders that decrease the SID lower the plasma pH. According to the law of electroneutrality the sum of positive charges is equal to the sum of negative charges. Therefore the SID must be equal to the sum of weak anions in the body (such as bicarbonate, albumin, and phosphate). Hyperchloremic acidosis may result from chloride replacing lost bicarbonate. Such bicarbonate-wasting conditions may be seen in the kidneys (renal tubular acidosi Continue reading >>

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  1. jlr820, BSN

    Yes it is. The bloodstream is absolutely full of glucose (since it isn't entering cells and being metabolized). This glucose load makes the blood HYPERosmolar and the kidneys respond by trying to remove glucose through urination. They cannot effectively deal with the large glucose load, and that's why glucose "spills" into the urine. The process of excessive urine output secondary to the large glucose load is called osmotic diuresis, and the client loses a HUGE amount of fluid through this diuretic effect, leading to profound dehydration.

  2. NRSKarenRN

    check out these prior posts:
    question about dka - nursing for nurses
    nursing interventions - nursing for nurses
    clincal articles:
    diabetic ketoacidosis: emedicine pediatrics: cardiac disease and
    diabetic ketoacidosis: emedicine endocrinology
    how do i care for a patient with diabetic ketoacidosis
    dka nursing care plan
    acccn's critical care nursing - google books result

  3. ghurricane

    Thanks so much!! Here is another oddity that makes no sense. I know there is potassium depletion due to frequent urination, but why do labs usually indicate hyperkalemia?

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Symptoms, risk factors and treatments of Hyperchloremic acidosis (Medical Condition) Hyperchloremic acidosis is a form of metabolic acidosis associated with a normal anion gap, a decrease in plasma bicarbonate concentration, and an increase in plasma chloride concentration This video contains general medical information If in doubt, always seek professional medical advice. The medical information is not advice and should not be treated as such. The medical information is provided without any representations or warranties, express or implied. We do not warrant or represent that the medical information on this websiteis true, accurate, complete, current or non-misleading Music: 'Undaunted' Kevin Macleod CC-BY-3.0 Source/Images: "Hyperchloremic acidosis" CC-BY-2.5 https://www.freebase.com/m/0905pn

Hyperchloremic Acidosis | Definition Of Hyperchloremic Acidosis By Medical Dictionary

Hyperchloremic acidosis | definition of hyperchloremic acidosis by Medical dictionary Related to hyperchloremic acidosis: Lactic acidosis , hypochloremic alkalosis 1. the accumulation of acid and hydrogen ions or depletion of the alkaline reserve (bicarbonate content) in the blood and body tissues, resulting in a decrease in pH. 2. a pathologic condition resulting from this process, characterized by increase in hydrogen ion concentration (decrease in pH). The optimal acid-base balance is maintained by chemical buffers, biologic activities of the cells, and effective functioning of the lungs and kidneys. The opposite of acidosis is alkalosis. adj., adj acidotic. Acidosis usually occurs secondary to some underlying disease process; the two major types, distinguished according to cause, are metabolic acidosis and respiratory acidosis (see accompanying table). In mild cases the symptoms may be overlooked; in severe cases symptoms are more obvious and may include muscle twitching, involuntary movement, cardiac arrhythmias, disorientation, and coma. In general, treatment consists of intravenous or oral administration of sodium bicarbonate or sodium lactate solutions and correction of th Continue reading >>

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  1. Annik

    Curiosity and a mind with a scientific bent compelled me to buy a Precision Extra ketone blood monitor. I took my first reading this evening before supper. I clocked in at .9. Looking for information on the web, I see:
    Blood ketones are best measured on a fasted stomach in the morning (before breakfast, that is). Here are a few pointers on how to interpret the result:
    Below 0.5 mmol/L is not considered “ketosis”. At this level, you’re far away from maximum fat-burning.
    Between 0.5-1.5 mmol/L is light nutritional ketosis. You’ll be getting a good effect on your weight, but not optimal.
    Around 1.5 – 3 mmol/L is what’s called optimal ketosis and is recommended for maximum weight loss.
    Values of over 3 mmol/L aren’t neccessary. That is, they will achieve neither better nor worse results than being at the 1.5-3 level. Higher values can also sometimes mean that you’re not getting enough food. For type 1 diabetics, it can be caused by a severe lack of insulin.
    I was getting "good returns " on ideal protein until a week or two ago. Now I'm wondering what's caused the pace to slow. Could it be the Mio and Crystal light that I have started to use?
    The information says that blood ketones are best measured in the morning after a night fast. I'm going to repeat the test in the morning and see what happens.
    Does anyone else have experience with this?

  2. lisa32989

    There are other threads re Ketosis & there is a video to watch that explains it

  3. marlenesuer

    I've met many people on this board who have lost an enormous amt of weight - 50lbs, 80lbs, more than 100lbs - none of them using this type of monitor.
    All have just stuck to the plan - that's it - plain and simple.
    I've never personally met Lisa Corner but I do believe she dropped about 200lbs JUST by following the plan.
    Nothing wrong with curiosity at all - that's not what I'm saying - but there's no need whatsoever to over think it. Sticking to the program is all that's needed. Nothing more. IMHO.
    Sure it could be the Mio or Crystal Light - but then what? If that's causing the glitch in progress, the only way to find out is to sop using them for a while and see what happens.
    Quote:

    Originally Posted by Annik
    Curiosity and a mind with a scientific bent compelled me to buy a precision extra ketone blood monitor.
    I took my first reading this evening before supper. I clocked in at .9. Looking for information on the web, I see:
    Blood ketones are best measured on a fasted stomach in the morning (before breakfast, that is). Here are a few pointers on how to interpret the result:
    Below 0.5 mmol/L is not considered “ketosis”. At this level, you’re far away from maximum fat-burning.
    Between 0.5-1.5 mmol/L is light nutritional ketosis. You’ll be getting a good effect on your weight, but not optimal.
    Around 1.5 – 3 mmol/L is what’s called optimal ketosis and is recommended for maximum weight loss.
    Values of over 3 mmol/L aren’t neccessary. That is, they will achieve neither better nor worse results than being at the 1.5-3 level. Higher values can also sometimes mean that you’re not getting enough food. For type 1 diabetics, it can be caused by a severe lack of insulin.
    I was getting "good returns " on ideal protein until a week or two ago. Now I'm wondering what's caused the pace to slow. Could it be the Mio and Crystal light that I have started to use?
    The information says that blood ketones are best measured in the morning after a night fast. I'm going to repeat the test in the morning and see what happens.
    Does anyone else have experience with this?

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Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Topiramate-induced Metabolic Acidosis: A Case Study

Nefrologia (English Version) 2012;32:403-4 | doi: 10.3265/Nefrologia.pre2011.Dec.11308 Topiramate-induced metabolic acidosis: a case study Acidosis metablica inducida por topiramato: a propsito de un caso. We present the case of a 75 year-old male with hypertension and chronic obstructive pulmonary disease who was diagnosed with chronic delusional disorder and mixed personality disorder, along with partial epilepsy due to a left parietal haematoma from several years prior. The patient was under treatment with topiramate, levetiracetam, quetiapine, sertraline, clobazam, and bronchodilators. He sought treatment for a respiratory infection and functional deterioration consisting of apathy, drowsiness, and periods of aggressive behaviour. A physical examination revealed that the patient had no fever, although he did suffer from disorientation and slurred speech, and would drift off to sleep, but with no apparent focal loss of motor function. The patient also had shallow tachypnoea, widespread rhonchi, and crackles in the left base, with radiological images indicative of superinfection of the abnormally widened bronchial tubes. We performed a laboratory analysis, revealing mildly eleva Continue reading >>

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  1. Killer_Spleen

    Thought I'd post this for anyone who may search later like I did, since this is a common problem.
    Once I started working out on keto (light jogging and weight lifting), I started having real bad insomnia. It seems like everyone is different, so YMMV, but this is what worked for me:
    I installed f.lux on my tablet to reduce blue light in the evening. Lights off in the room of course.
    I take 3mg of liquid melatonin about 45 mins. before bed. The liquid is nice because you can vary the dose (each dropper is 1 mg.).
    I use a magnesium spray on my legs and the bottoms of my feet at night (muscle relaxer, magnesium is the active ingredient in Epsom salts and most people are deficient).
    If I feel particularly wired and/or have worked out that day, I add a cup of warm whole milk 30 mins. before bed. Some people might not prefer to do that, but for me, I absolutely prioritize sleep over carbs. Not even a question.
    Sleeping like a baby, and able to continue working out.
    Good luck to anyone who has keto insomnia, it suuuucks.

  2. Steakman1971

    I've never heard of insomnia from keto? Are you consuming caffeine?

  3. Killer_Spleen

    That was the first thing I stopped. Didn't help. Lots of people get insomnia on keto. I know this from hours of desperate googling in the middle of the night :)
    Edit: most likely caused by elevated cortisol.

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