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Metabolic Acidosis Definition

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

Metabolic Acidosis-general

Acid-Base Physiology See Acid-Base Physiology Definitions Acidemia Definition: decreased arterial pH Note: patient can be acidemic without having a metabolic acidosis Example: respiratory acidosis can produce acidemia without the presence of a metabolic acidosis Acidosis Definition: disorder that results in increased blood hydrogen ions with decreased serum bicarbonate Note: patient can have a metabolic acidosis without being acidemic Example: a metabolic acidosis will induce respiratory compensation (typically with tachypnea) without significant acidemia Epidemiology Lactic Acidosis and Diabetic Ketoacidosis are the Most Common Causes of Metabolic Acidosis Mechanisms of Metabolic Acidosis (with Common Etiologies) Decreased Renal Acid Excretion Disorders with Decreased Glomerular Filtration Rate (GFR) Disorders with Tubular Dysfunction and (Initially) Preserved Glomerular Filtration Rate (GFR) Type 1 Distal Renal Tubular Acidosis (RTA) (see Type 1 Distal Renal Tubular Acidosis) Genetic Disease Tubulointerstitial Renal Disease Nephrocalcinosis Syndromes Autoimmune Disease Hypergammaglobulinemic States Drugs/Toxins Other Type 4 Renal Tubular Acidosis (RTA)/Hypoaldosteronism (see Type Continue reading >>

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  1. mikee5

    How much protein on keto??

    I am at 130 lbs, male, 24, 5'9. I know this seems like a particularly low weight but I have high BF% and wanna get leaner. I've read theories about protein consumption according to your weight, so that's 130g of protein? It seems pretty hard on only 20/30g of carbs a day and I hate drenching my food with fat (I make sure I get plenty, though). I don't want to be consuming too much protein and it turning to glucose, preventing me from becoming keto-adapted. I want the 'flu' symptoms to subside as soon as possible.
    I am runner so is 130g of protein too little? 1.5g of protein per lb would be 190g, that makes more sense. Any suggestions? Thanks.

  2. aaaaaaaaaachooo

    For your size, you don't need any more than 120g Protein/day when doing keto (that's a high number too)
    Eat that fat for energy!!!
    Here's an example of my grocery list:
    Peanut Butter
    Raw Almonds
    Raw Walnuts
    Raw Pecans
    Sunflower Seeds
    Flavored Almond Slices (for salads, in produce)
    Ranch Dressing
    Raw Spinach
    Broc****
    Romaine Lettuce
    Heavy Whipped Cream
    Almond Milk
    Shredded Cheese
    Beef
    Chicken
    Steak
    Ham
    Turkey
    Bacon
    Sausage
    Olive Oil
    Butter
    Eggs
    Slim Jims
    More Peanut Butter
    Lipton's Diet Green Tea
    Water, Water, Water

  3. Grifts

    Generally, people either go with 30% of caloric intake, 1 g/per lb of Lean body mass, or .82 g per/lb.
    aaaaachoo is spot in with 120 g being sufficient and perhaps a tad high.
    Protein requirements get higher the leaner you get, or the lower calorie you go.
    You say "I'm a runner" does that mean once a week, or every day, or what? Do you do marathons?

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Metabolic Acidosis And Strong Ion Gap In Critically Ill Patients With Acute Kidney Injury

Copyright © 2014 Cai-Mei Zheng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To determine the influence of physicochemical parameters on survival in metabolic acidosis (MA) and acute kidney injury (AKI) patients. Materials and Methods. Seventy-eight MA patients were collected and assigned to AKI or non-AKI group. We analyzed the physiochemical parameters on survival at 24 h, 72 h, 1 week, 1 month, and 3 months after AKI. Results. Mortality rate was higher in the AKI group. AKI group had higher anion gap (AG), strong ion gap (SIG), and apparent strong ion difference (SIDa) values than non-AKI group. SIG value was higher in the AKI survivors than nonsurvivors and this value was correlated serum creatinine, phosphate, albumin, and chloride levels. SIG and serum albumin are negatively correlated with Acute Physiology and Chronic Health Evaluation IV scores. AG was associated with mortality at 1 and 3 months post-AKI, whereas SIG value was associated with mortality at 24 h, 72 h, 1 week, 1 month, and 3 m Continue reading >>

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  1. quiz

    Ketosis in less than 12 hours...

    (i searched for other threads but couldn't find anyone getting into ketosis this fast)
    According to my ketostix...is this okay? Got the same results after 5-6 different ketostix from two different new bottles throughout last night. Started yesterday morning, went to work(office job) came home and used a couple ketostix 12 hours later, positive. I'm sure I don't have diabetes.
    I've been on keto before around 8 months ago for about 2 months, but have been eating carbs and getting fat ever since. During work I ate mostly just almonds and sweat a little just because i had a sweater on. I felt a mild headache, and it feels like I'm in ketosis from my past experience.
    more info: 185 pounds, about 20% bf, ate normal keto foods, didn't workout that day yet, on p90x workout though.
    girlfriend is apparently in ketosis already too(her first time trying). she's 100 pounds and doing p90x too. same foods.

  2. ChicagoChef

    Yeah, it's fine.
    And dude... easy on the ketosticks!

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Late Metabolic Acidosis: A Reassessment Of The Definition*

The term “late metabolic acidosis” is generally used to define a population of apparently health LBW infants who fail to grow and have a base deficit in excess of 5 mEq/l (CO2TOT<21 mM). A relationship between hypobasemia and the lack of appropriate growth was postulated. This conclusion was reached, however, in the absence of adequate information regarding the distribution of acid-base variables in healthy LBW infants. The results of this study demonstrate that the CO2TOT of LBW infants (n=114) rises between birth and three weeks of life from a mean of 18.6 to 20.3 mM. The frequency distribution of CO2TOT values did not show any significant deviations from normality, and 2 SD included values as low as 14.5 mM. No difference in the rate of growth was detected between “hypobasemic” infants given a solution of bicarbonate calculated to bring their blood CO2TOT to >21 mM and those given similar amounts of isotonic saline solution. The ability of the LBW infants to excrete an ammonium chloride load was not related to their acid-base status and was comparable to that of term infants. It is apparent that the definition of late metabolic acidosis needs to be reconsidered. To acces Continue reading >>

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  1. airforcewife72

    Check out /r/xxketo! I wasn't on Keto while nursing because I already had low supply but I am now and have lost 25lbs so far. /r/ketobabies doesn't have a whole lot of activity as of yet.

  2. [deleted]

    I've been on a strict paleo diet (I am only lenient on cheese and some fruits) since 1 week PP and if anything I have an oversupply! I've also lost 20 pounds in the 6 weeks I've been doing it

  3. Mashiara

    Would love some insight on this. Also lost a lot of weight doing keto prior to pregnancy and /r/ketobabies doesn't really have enough activity.

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