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Metabolic Acidosis And Alkalosis Ppt

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What is ALKALOSIS? What does ALKALOSIS mean? ALKALOSIS meaning - ALKALOSIS pronunciation - ALKALOSIS definition - ALKALOSIS explanation - How to pronounce ALKALOSIS? Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Alkalosis is the result of a process reducing hydrogen ion concentration of arterial blood plasma (alkalemia). In contrast to acidemia (serum pH 7.35 or lower), alkalemia occurs when the serum pH is higher than normal (7.45 or higher). Alkalosis is usually divided into the categories of respiratory alkalosis and metabolic alkalosis or a combined respiratory/metabolic alkalosis. Respiratory alkalosis is caused by hyperventilation, resulting in a loss of carbon dioxide. Compensatory mechanisms for this would include increased dissociation of the carbonic acid buffering intermediate into hydrogen ions, and the related excretion of bicarbonate, both of which lower blood pH. Hyperventilation-induced alkalosis can be seen in several deadly central nervous system diseases such as strokes or Rett syndrome. Metabolic alkalosis can be caused by rep

Metabolic Acidosis And Alkalosis.ppt

LEARNING OBJECTIVESNORMAL VALUES OF ABGTYPES AND CAUSES OF METABOLIC ACIDOSIS AND METABOLIC ALKALOSISDISODERS WITH HIGH AND LOW ANIONIC GAPDIFFERENT CASE SENARIO Normal valuesFrom serum (venous) blood:CO2 (bicarb) 22-32 mmol/LNa 135-146 mmol/LCl 98-111 mmol/LFrom ABG:pH 7.35-7.45pCO2 35-45Bicarb 21-29 Metabolic AcidosisHCO3- excretion is controlled by the kidneyH+ excretion is controlled by the kidneyOne H+ buffers one HCO3-So, an increase in H+ can cause a decrease in HCO3- Metabolic AcidosisGain of H+ Loss of HCO3-(bicarb) Causes of metabolic acidosis due to gain of acid Endogenous hydrogen ion production: ketoacidosis lactic acidosis salicylate overdoseMetabolism of toxins methanol ethylene glycolDecreased renal excretion uremia renal tubular acidosis (type 1) distal Causes of metabolic acidosis due to loss of bicarb--Renal tubular acidosis type II (proximal)--GI loss (diarrhea) Metabolic AcidosisMetabolic acidosis can be characterized based on anion gapHigh anion gap >20Normal anion gap 7-15 meq/L AG=Na (Cl + HCO3-) Diff Dx of elevated anion gap acidosisMethanol intoxication (denatured alcohol)Uremic acidosisDiabetic ketoacidosisParaldehyde intoxication/alcohol intoxicationI I Continue reading >>

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Popular Questions

  1. PeacefulWarrior

    I'm on day 13 day 23 total. Over the last few days I've been getting a strange taste in my mouth. More accurately the back of my throat. It tastes almost like alcohol or some chemical. what could this be? Detoxing from meds taken in the past? Old drug use? Definitely interested to hear your take on this Should I be concerned? should I go longer? is this hey new stage of healing?
    Thanks in advance,
    David

  2. TheFastDoctor

    TheFastDoctor replied the topic: Re: Alcohol taste in the mouth?
    In these 13 days, dear Peaceful, you have likely not been putting anything into you that could cause a "strange taste". Thus, whatever is causing it must have been in you before you started fasting. I have noted old medicines come out years later so that could be a component yes. Also old preservatives, colourants, flavourants and a host of environmental and metabolic wastes...
    My general advice is, as long as other observations and examinations permit, for patients to persist fasting under these circumstances, but do even more aggressive elimination cycles to help the body get rid of whatever chemical or group of chemicals have been liberated into circulation... and yet I am really reluctant just to "chase numbers" as a decision on the number of days beforehand may risk your overriding the biofeedback.
    Long sentence.
    André
    All my posts are "generic", based on my opinions and experiences only and are not intended to replace the advice of your own licensed medical practitioner.

  3. david

    david replied the topic: Re: Alcohol taste in the mouth?
    Chemical breath smells like fermented apples and is triggered when in ketosis by the elimination of Acetone? Muscle breakdown can cause chemical breath by muscle breakdown releasing amonia? Question is can there be an associated taste with the release of these chemicals?
    Great minds discuss ideas;
    Average minds discuss events;
    Small minds discuss people.

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Acid Base Homeostasis + Imbalance (ppt)

presence of condition that tends to decrease pH of blood making it more acidic presence of factor that increases pH of blood above normal, making it more alkaline -relative excess of any acid except carbonic acid -combo of increase in acid and decrease in base results in decrease of normal 20:1 ratio of HCO3- to H2CO3 decreases normal ratio of bicarbonate to carbonic acid because bicarbonate ions are used up in buffering the excess acid -caloric + glucose intake is insufficient -body begins to use fat stores for energy -ketoacids accumulate in blood causing metabolic acidosis other examples of increase in acid in (metabolic acidosis) -ketoacidosis (diabetes mellitus, starvation, alocoholism) compensatory response to metabolic acidosis hyperventilation as a compensatory response to metabolic acidosis -low blood pH stimulates peripheral chemoreceptors -ventilatory neurons respond to increase rate + depth of respiration -results in increased excretion by lungs of carbonic acid (CO2 + H2O) results of compensatory response in metabolic acidosis -does change ratio of bicarbonate ions to carbonic acid -decreased bicarbonate concentration (primary disorder) -decreased PaCO2 (compensation; Continue reading >>

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Popular Questions

  1. jkungcho

    Hello and Happy New Year! I've been on Keto since the start of December. I've had some bad moments (involuntary/voluntary cheats) at the very beginning and know that eating carbage isn't helping me and my health improvement goals and I have those desires absolutely under control. I'm not hungry so I don't eat which is something I've never experienced before! I love this WOE!!!
    Here's my current dilemma. I'm so stinking tired!!! All of the time! I can never get enough sleep! I read that if you're energy levels are low to eat fat. This morning I had some chicken bone broth with butter and coconut oil and took the kids to school. I felt so sleepy behind the wheel and I haven't felt like that in years. I came home and made myself some BPC, but I'm still sooooo tired. I added salt to both my broth and coffee. I feel nauseated and don't feel like eating especially since I'm not hungry and I always used to be hungry. It seems that I typically eat once a day and sometimes twice a day.

    What gives? What am I missing? I am taking daily vitamins, my high blood pressure and cholesterol meds. Do I need to also supplement with magnesium and potassium? I've been getting plenty of fluids. I don't feel like I caught some bug. Am I still converting to fat burning? Feeling confused but not giving up. Thank you in advance!

  2. devhammer

    If you started in December, and haven't been solidly practicing keto throughout that period, you are probably still experiencing keto flu.
    Yes, adding electrolytes can help with some symptoms of keto flu, so consider adding that (do a search for Ketoaid in the box at the top of the forums...that's one way to get them in). Some folks also take some bone broth, with a little added salt & fat, to help.
    Keep the carbs below 20g/day, sufficient protein, and fat to satiety. Keep doing that. If you go another month and still having issues, then you might look at what else to change.

    Fat adaptation isn't instant. And it takes longer for some folks than for others. You'll start to feel it once you're fully fat-adapted. Hang in there.

  3. devhammer

    Moving to the Newbies category, BTW.

    Check the FAQ and pinned posts there (and in the subcategories) for good info.

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Secondary responses to alterations in acid-base status Hypercapnia acidifies body fluids and titrates nonbicarbonate buffers, yielding a small increase in plasma [HCO3]. This secondary hyperbicarbonatemic response is completed within 5 to 10 minutes and remains stable for several hours. Observations in unanesthetized normal humans studied in an environmental chamber (inspired CO2 7 and 10%) reveal a mean [HCO3]/Paco2 slope of 0.1 mEq/L per mmHg; expected [HCO3] = 24 + [(current Paco2 40) 0.1]. 4 An essentially identical slope is obtained in humans in whom respiratory acidosis is induced by endogenous hypercapnia. 5 Sustained hypercapnia causes an additional, larger increase in plasma [HCO3] owing to stimulation of renal acidification. In dogs, a new steady state emerges within 3 to 5 days. 6 , 7 Whether this temporal pattern applies to humans is unknown. In patients, chronic hypercapnia often reflects gradual deterioration in pulmonary function; consequently, the secondary response might keep pace with the slowly rising Paco2 without a perceptible delay. Careful observations of patients with chronic hypercapnia as a result of chronic obstructive pulmonary disease allowed estimatio Continue reading >>

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Popular Questions

  1. jkungcho

    Hello and Happy New Year! I've been on Keto since the start of December. I've had some bad moments (involuntary/voluntary cheats) at the very beginning and know that eating carbage isn't helping me and my health improvement goals and I have those desires absolutely under control. I'm not hungry so I don't eat which is something I've never experienced before! I love this WOE!!!
    Here's my current dilemma. I'm so stinking tired!!! All of the time! I can never get enough sleep! I read that if you're energy levels are low to eat fat. This morning I had some chicken bone broth with butter and coconut oil and took the kids to school. I felt so sleepy behind the wheel and I haven't felt like that in years. I came home and made myself some BPC, but I'm still sooooo tired. I added salt to both my broth and coffee. I feel nauseated and don't feel like eating especially since I'm not hungry and I always used to be hungry. It seems that I typically eat once a day and sometimes twice a day.

    What gives? What am I missing? I am taking daily vitamins, my high blood pressure and cholesterol meds. Do I need to also supplement with magnesium and potassium? I've been getting plenty of fluids. I don't feel like I caught some bug. Am I still converting to fat burning? Feeling confused but not giving up. Thank you in advance!

  2. devhammer

    If you started in December, and haven't been solidly practicing keto throughout that period, you are probably still experiencing keto flu.
    Yes, adding electrolytes can help with some symptoms of keto flu, so consider adding that (do a search for Ketoaid in the box at the top of the forums...that's one way to get them in). Some folks also take some bone broth, with a little added salt & fat, to help.
    Keep the carbs below 20g/day, sufficient protein, and fat to satiety. Keep doing that. If you go another month and still having issues, then you might look at what else to change.

    Fat adaptation isn't instant. And it takes longer for some folks than for others. You'll start to feel it once you're fully fat-adapted. Hang in there.

  3. devhammer

    Moving to the Newbies category, BTW.

    Check the FAQ and pinned posts there (and in the subcategories) for good info.

  4. -> Continue reading
read more

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