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Is Copd Respiratory Acidosis Or Alkalosis?

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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

(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), typically due to CNS, pulmonary, or iatrogenic conditions. Respiratory acidosis can be acute or chronic; the chronic form is asymptomatic, but the acute, or worsening, form causes headache, confusion, and drowsiness. Signs include tremor, myoclonic jerks, and asterixis. Diagnosis is clinical and with ABG and serum electrolyte measurements. The cause is treated; oxygen (O2) and mechanical ventilation are often required. Respiratory acidosis is carbon dioxide (CO2) accumulation (hypercapnia) due to a decrease in respiratory rate and/or respiratory volume (hypoventilation). Causes of hypoventilation (discussed under Ventilatory Failure ) include Conditions that impair CNS respiratory drive Conditions that impair neuromuscular transmission and other Continue reading >>

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  1. GMX

    I've been ketoing now almost 5 weeks but have been struggling to get my fasting blood glucose down. This morning my blood ketones registered at .8 but my blood glucose was 122. I'm eating about 90-100g protein a day but I weigh 217. Is it still just too much protein? Carb intake is negligible. Fat intake is probably 250g a day. Any thoughts? Thanks.

  2. Mare

    For your weight, that does not seem like a lot of protein to me. I weigh 145, and I've calculated my minimum protein at 60g and can go as high as 100g.
    As to blood glucose, there's a phenomenon with ketosis where fasting BG is elevated, but it is benign. Peter at Hyperlipid had a post on his blog some time ago that provided the science behind this, but I could not follow it. This may be what you're experiencing.

    My endo told me that this is true, and he goes by my A1C rather than my fasting because of this.

  3. carolT

    Protein could be lower if you are female (sorry, can't tell) and/or not exercising, but the ketone level indicates you are accessing some fat overnight.

    Have you taken glucose readings at night or before your main meal? Are they lower? You may be experiencing "dawn phenomenon" where glucose is higher in the morning because 1.) the same hormones that wake you up also give you some extra glucose to start the day or 2.) your glucose dropped overnight and your body reacts by making more of it. Also, if you happen to get up in the middle of the night, you could see what your glucose is doing before your normal waking time.

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Hello guys In this video discuss about the basic concept of acidosis and alkalosis and Discuss the topic of respiratory acidosis The cause Sign symptom and treatment Please subscribe my channel for more video And comment which video you want discuss in next videos. Thanks

Respiratory Acidosis

Respiratory acidosis is an abnormal clinical process that causes the arterial Pco2 to increase to greater than 40 mm Hg. Increased CO2 concentration in the blood may be secondary to increased CO2 production or decreased ventilation. Larry R. Engelking, in Textbook of Veterinary Physiological Chemistry (Third Edition) , 2015 Respiratory acidosis can arise from a break in any one of these links. For example, it can be caused from depression of the respiratory center through drugs or metabolic disease, or from limitations in chest wall expansion due to neuromuscular disorders or trauma (Table 90-1). It can also arise from pulmonary disease, card iog en ic pu lmon a ryedema, a spira tion of a foreign body or vomitus, pneumothorax and pleural space disease, or through mechanical hypoventilation. Unless there is a superimposed or secondary metabolic acidosis, the plasma anion gap will usually be normal in respiratory acidosis. Kamel S. Kamel MD, FRCPC, Mitchell L. Halperin MD, FRCPC, in Fluid, Electrolyte and Acid-Base Physiology (Fifth Edition) , 2017 Respiratory acidosis is characterized by an increased arterial blood PCO2 and H+ ion concentration. The major cause of respiratory acido Continue reading >>

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  1. Redirish86

    So general curiosity here adhering to Keto 100% do any of you have a few Keto friendly drinks once a week? Like Diet Coke and rum or whiskey? Also how badly does this set you back or have you noticed it does?

  2. Izerian

    ketogenicforums.com
    15
    Alcohol
    This category is for discussing low carb options for Alcohol as well as science specific to alcohol metabolism by a fat adapted human.
    Good place to start. I'm on my phone else I'd elaborate more. My understanding is that zero carb alcoholic drinks are fine, if you're willing to put ketosis on pause while your body cleans out the alcohol from your blood.

    Like I said, that's my understanding.

  3. Minivanmachoman

    I used to do this and then moved to whiskey on the rocks, then to whiskey straight, then to no booze for various reasons since June 2016.
    Booze was a double edged sword for me. Good times, but I had a tendency to really eat a ton during and after. Diet cola also seems to produce an insulin response in me so I have been off that as well.
    Some people can have booze and be aok, others, like me, are hit or miss. Try it out and see what works for you! You probably already know this but take it slow on the booze, your tolerance will be way down.
    Good Luck!
    KCKO!

    Edit:grammar and spelling are hard.

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This video Respiratory Tract Infections: Influenza Virus is part of the Lecturio course Respiratory Medicine WATCH the complete course on http://lectur.io/influenzavirus LEARN ABOUT: - Influenza virus - Influenza A - importance - Subtypes of influenza virus - Clinical manifestations of influenza virus - Managment of influenza virus THE PROF: Your tutor is Professor Jeremy Brown. He studied medicine in London, graduating with honors, and continued his postgraduate medical training in a variety of London hospitals. He completed his PhD in molecular microbiology in 1999 and obtained a prestigious Welcome Advanced Research Fellowship for further scientific training at the University of Adelaide. LECTURIO is your single-point resource for medical school: Study for your classes, USMLE Step 1, USMLE Step 2, MCAT or MBBS with video lectures by world-class professors, recall & USMLE-style questions and textbook articles. Create your free account now: http://lectur.io/influenzavirus INSTALL our free Lecturio app iTunes Store: https://app.adjust.com/z21zrf Play Store: https://app.adjust.com/b01fak READ TEXTBOOK ARTICLES related to this video: Flu (Influenza) Symptoms and Treatment http://lectur.io/influenzaarticle SUBSCRIBE to our YouTube channel: http://lectur.io/subscribe WATCH MORE ON YOUTUBE: http://lectur.io/playlists LETS CONNECT: Facebook: https://www.facebook.com/lecturio.med... Instagram: https://www.instagram.com/lecturio_me... Twitter: https://twitter.com/LecturioMed

Respiratory Acidosis

Causes of respiratory acidosis include: Diseases of the lung tissue (such as pulmonary fibrosis, which causes scarring and thickening of the lungs) Diseases of the chest (such as scoliosis) Diseases affecting the nerves and muscles that signal the lungs to inflate or deflate Drugs that suppress breathing (including powerful pain medicines, such as narcotics, and "downers," such as benzodiazepines), often when combined with alcohol Severe obesity, which restricts how much the lungs can expand Obstructive sleep apnea Chronic respiratory acidosis occurs over a long time. This leads to a stable situation, because the kidneys increase body chemicals, such as bicarbonate, that help restore the body's acid-base balance. Acute respiratory acidosis is a condition in which carbon dioxide builds up very quickly, before the kidneys can return the body to a state of balance. Some people with chronic respiratory acidosis get acute respiratory acidosis because an illness makes their condition worse. Continue reading >>

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  1. Daytona

    Using a Ketone Meter to do a Ketogenic Diet

    I thought I would start a new thread for discussing using a ketone meter to aid your ketogenic diet efforts. I had previously shared Jimmy Moore's success but I wanted something where any members who are trying this tactic can share their progress and tips.
    Ketone Meters
    At the moment there are only 2 ketone meters: Precision Xtra and Nova Max Plus. As usual the price of the strips should probably dictate which one you buy. If you are willing to wait, sometimes you can request a free meter directly from the manufacturer (nova max plus).
    Ketone Strips
    There's no getting around it, they are much more expensive than blood glucose strips. Here are some average prices and places to find them:
    Amazon: $5-$6 per strip for Precision Xtra, $3-4 per strip for Nova Max Plus
    Ebay: $4-$6 per strip. Usually only cheaper when sold in bulk
    Online Canadian Pharmacies: $2-$4 per strip. Make sure to select an accredited pharmacy! Most should not require a prescription since it is "over the counter".
    The Basics
    Here is my understanding of how to go about this based on my reading of two books by Drs. Steve Phinney and Jeff Volek: The Art and Science of Low Carbohydrate Living and Performance.
    If you are already trying a low-carb or ketogenic diet (and think you may be in ketosis), you may want to try keeping your diet the same until you get your strips so that you get a baseline. Maybe you already have good ketone levels.
    Start your ketogenic diet. There are tons of threads on this forum about it (search for smorgan's posts or ketogenic). Here's the short version:

    Restrict carbohydrates to < 50g a day. You most likely will need to be lower, use your meter to guide you.
    Get adequate protein for your size and activity (0.7 1.5g per lb lean body mass) - but keep it on the low-end if you are having trouble getting high enough ketones. Too much can prevent ketosis. Here are some threads on protein, and some calculators.
    All your remaining energy is coming from healthy fats. Prefer saturated and monounsaturated fats like animal fats (meat, eggs, dairy), coconut oil, olive oil, avocados, etc.
    Stay hydrated!
    You may need to supplement with sodium (2 cubes of bouillon), magnesium (400mg mag citrate), potassium or zinc. See the chapter on Mineral Management for details.
    A health goal range for ketones is .5 - 3 millimolar. If you go higher than that, please be careful and check your blood sugar too. If you already have your blood sugar under control, DKA should not be a concern but if you have ketones AND high blood sugar, get thee to a doctor.
    Since strips are expensive, figure out a testing plan. I and others have gone with testing fasting ketones since or most people, ketones are lowest in the morning (fasted) and rise through the day. My plan is to test 1x a day until I've hit my goal range. Once I'm in ketosis for a week, I will test less often, maybe 1x a week to make sure I'm staying there.
    It may take up to 2 weeks to get your ketones into the desired range. How long really depends on many factors such as: previous diet, glycogen stores, blood sugar control, medications and identifying your personal carb/protein/fat ratios.

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