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Metabolic Acidosis Lab Values Symptoms

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

Metabolic Acidosis Workup: Approach Considerations, Laboratory Evaluation, Complete Blood Count

Author: Christie P Thomas, MBBS, FRCP, FASN, FAHA; Chief Editor: Vecihi Batuman, MD, FASN more... Often the first clue to metabolic acidosis is a decreased serum HCO3- concentration observed when serum electrolytes are measured. Remember, however, that a decreased serum [HCO3-] level can be observed as a compensatory response to respiratory alkalosis. An [HCO3-] level of less than 15 mEq/L, however, almost always is due, at least in part, to metabolic acidosis. The only definitive way to diagnose metabolic acidosis is by simultaneous measurement of serum electrolytes and arterial blood gases (ABGs) , which shows pH and PaCO2 to be low; calculated HCO3- also is low. (For more information, see Metabolic Alkalosis .) A low serum HCO3- and a pH of less than 7.40 upon ABG analysis confirm metabolic acidosis. Go to Pediatric Metabolic Acidosis and Emergent Management of Metabolic Acidosis for complete information on these topics. The diagnosis is made by evaluating serum electrolytes and ABGs. A low serum HCO3- and a pH of less than 7.40 upon ABG analysis confirm metabolic acidosis. The anion gap (AG) should be calculated to help with the differential diagnosis of the metabolic acidosis Continue reading >>

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  1. SteveWood

    I gave up on my hair years ago

  2. Roark

    Doesn't it seem counter-intuitive that you would have to choose between either a diet for the sake of overall well-being, or a diet for the sake of hair health, and the two are mutually exclusive? If you accept the HLAF protocol, you have to give up a BP lifestyle for the most part, and for a BP lifestyle you would definitely have to give up the HLAF protocol...gut feeling says they can't both be right, right?

  3. Ochra

    Doesn't it seem counter-intuitive that you would have to choose between either a diet for the sake of overall well-being, or a diet for the sake of hair health, and the two are mutually exclusive? If you accept the HLAF protocol, you have to give up a BP lifestyle for the most part, and for a BP lifestyle you would definitely have to give up the HLAF protocol...gut feeling says they can't both be right, right?
    A lot of the info Roddy presented in his book is influenced by Ray Peat who is writing for overall health. Therefore the HLAF diet is written for overall health since it is, in essence, a holistic approach targeting hormones and hormones' role in health cannot be understated. A lot of people who suffer from hair loss also suffer from low testoserone/estrogen dominance, depression, low libidio, skin health and various other problems so hair loss really isn't an isolated condition, like it and other health conditions are made out to be.
    The only real difference is that this diet recommends high refined sugar intake, and very low vegetable intake (for reasons described in the book). HLAF also doesn't really require supplementation, and doesn't recommend fish oils. The rest doesn't really differ that much from the BP diet.
    From my experience I would say the BP diet is far more in depth and covers more ground, with a noticeable benefit for brain function and cognition, whereas HLAF is better in terms of libido and combating hair loss.

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Disorders Of Acid-base Balance

Module 10: Fluid, Electrolyte, and Acid-Base Balance By the end of this section, you will be able to: Identify the three blood variables considered when making a diagnosis of acidosis or alkalosis Identify the source of compensation for blood pH problems of a respiratory origin Identify the source of compensation for blood pH problems of a metabolic/renal origin Normal arterial blood pH is restricted to a very narrow range of 7.35 to 7.45. A person who has a blood pH below 7.35 is considered to be in acidosis (actually, physiological acidosis, because blood is not truly acidic until its pH drops below 7), and a continuous blood pH below 7.0 can be fatal. Acidosis has several symptoms, including headache and confusion, and the individual can become lethargic and easily fatigued. A person who has a blood pH above 7.45 is considered to be in alkalosis, and a pH above 7.8 is fatal. Some symptoms of alkalosis include cognitive impairment (which can progress to unconsciousness), tingling or numbness in the extremities, muscle twitching and spasm, and nausea and vomiting. Both acidosis and alkalosis can be caused by either metabolic or respiratory disorders. As discussed earlier in this Continue reading >>

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Popular Questions

  1. FatJessica

    > Ketosis taste in mouth?

    I caught a glimpse of a thread somewhere mentioning a taste in the mouth that some people get when they are in ketosis....anyone know what I'm talking about?

  2. MorganMac

    Yep, it's rather common. Ketone bodies (such as acetone) are excreted from the body in the breath and urine. Many people get "keto breath" for awhile when they start a LC diet :)

  3. FatJessica

    What does it smell like?

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The Pharmacotherapy Preparatory Review Recertification Course Endocrine and Metabolic Disorders PDF at https://www.mediafire.com/view/8kucuu...

Metabolic Acidosis - Endocrine And Metabolic Disorders - Merck Manuals Professional Edition

(Video) Overview of Acid-Base Maps and Compensatory Mechanisms By James L. Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincent’s Ascension Health, Birmingham Metabolic acidosis is primary reduction in bicarbonate (HCO3−), typically with compensatory reduction in carbon dioxide partial pressure (Pco2); pH may be markedly low or slightly subnormal. Metabolic acidoses are categorized as high or normal anion gap based on the presence or absence of unmeasured anions in serum. Causes include accumulation of ketones and lactic acid, renal failure, and drug or toxin ingestion (high anion gap) and GI or renal HCO3− loss (normal anion gap). Symptoms and signs in severe cases include nausea and vomiting, lethargy, and hyperpnea. Diagnosis is clinical and with ABG and serum electrolyte measurement. The cause is treated; IV sodium bicarbonate may be indicated when pH is very low. Metabolic acidosis is acid accumulation due to Increased acid production or acid ingestion Acidemia (arterial pH < 7.35) results when acid load overwhelms respiratory compensation. Causes are classified by their effect on the anion gap (see The Anion Gap and see Table: Causes of Metab Continue reading >>

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Popular Questions

  1. activia

    There are studies done that found that if women are on a ketogenic diet during pregnancy the gene expression on the baby is changed as the baby thinks it is going into a starvation environment and changes their metabolism permanently to store fat. Ketogenic diets over long periods of time can also cause your t3/t4 ratio out of whack which screws up your thyroid.
    Final Note: Primal/Paleo does not have to be ketogenic

  2. Nady

    I suppose if Grok's mate was PG and only ate meat, it would account for the *thrifty gene* we keep hearing about?

  3. activia

    Originally posted by Nady
    I suppose if Grok's mate was PG and only ate meat, it would account for the *thrifty gene* we keep hearing about? Seems very plausible. I'm glad I found that out before hand because I'll certainly make a point to eat a lot more carbs then I do now when I'm pregnant (since now I only eat >100g a couple days a week, with some days <50)

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