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Metabolic Acidosis Pathophysiology Diagnosis And Management

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10 Foods Proven to Trigger Kidney Stones. Your kidneys play an important function when it pertains to filtering waste out of the body. Every day, these organs on either side of the spinal column, filter more than 200 quarts of blood and 2 quarts of waste products prior to it's eliminated of the body by means of urination. Certainly, healthy kidneys are necessary for correct cleansing. However, specific foods can cause kidney stones and keep these organs from operating efficiently. Here are ten foods that motivate kidney stone development ... 1. Extreme Caffeine Too much caffeine-- in the type of coffee, tea, and soda-- can stress the kidneys and lead to the advancement of kidney stones due to greater calcium levels in the urine, as well as kidney failure due to the stimulant qualities that can cause organ fatigue. 2. Rhubarb If kidney stones are genetic, you should steer clear of foods which contain oxalates (the material that makes up the real stones). Rhubarb is one food that's particularly high in oxalates. 3. Synthetic Sweetener You most likely utilize artificial sweetener in your coffee as opposed to sugar in order to cut calories. And possibly you choose for diet plan soda fo

Kidney Stones 2012: Pathogenesis, Diagnosis, And Management

Kidney Stones 2012: Pathogenesis, Diagnosis, and Management Department of Internal Medicine, Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, Dallas, Texas 75390 Address all correspondence and requests for reprints to: Khashayar Sakhaee, M.D., 5323 Harry Hines Boulevard, Dallas, Texas 75390. Search for other works by this author on: Department of Internal Medicine, Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, Dallas, Texas 75390 Search for other works by this author on: Department of Internal Medicine, Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, Dallas, Texas 75390 Search for other works by this author on: The Journal of Clinical Endocrinology & Metabolism, Volume 97, Issue 6, 1 June 2012, Pages 18471860, Khashayar Sakhaee, Naim M. Maalouf, Bridget Sinnott; Kidney Stones 2012: Pathogenesis, Diagnosis, and Management, The Journal of Clinical Endocrinology & Metabolism, Volume 97, Issue 6, 1 June 2012, Pages 18471860, The pathogenetic mechanisms of kidney Continue reading >>

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  1. WhoAteMyPsyche

    I've been trying to find the science between how the body reacts in ketosis vs someone who just tries to keep their carbs low. I know some people can be in ketosis with 50 carbs or less, but I do not think that is the case for most people.
    When I first started losing weight I was keeping my carbs between 40-50, and lost between 80-90 lbs. doing that. I then started doing more research (I stalled for a long time) and switched to keto and keep my carbs below 20. However, I'm working on a blog post trying to explain keto and would like to be able to explain, intelligently, the difference in ketosis vs "lowish" carbs.

    Can anyone point me to good research on this? Thank you!

  2. Fiorella

    Honestly, I think the best data or research is testing your own body, as in n=1. Starting at 20 g carbs is a starter's template. From there, you may need to go lower, or get away with pushing it higher. Let's say someone comes up with a bell curve showing where people have there carbs set at. It will still be a snapshot in time, possibly skewed to men/women only, age groups, metabolic diseases, athletic/sedentary, etc. Also, some people noticed that with time, the carb level requirement changed as their bodies health modified, too.

  3. WhoAteMyPsyche

    I completely agree that everyone is different and that the carb levels can change over time. I know, at least in my experience, just because someone knows about low carb doesn't mean they know what ketosis is. When I first started I was going off a plan I had followed in the 90s (Protein Power Plan) and knew nothing about ketosis. I had heard the term "keto" thrown around by a few people but just thought it was a different way of saying the same thing - Protein Power, Atkins, etc. So I guess the key is telling people WHAT keto is and why lowering your carbs works. They can then take that info and learn for themselves what works for them.

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Created by Ian Mannarino. Watch the next lesson: https://www.khanacademy.org/test-prep... Missed the previous lesson? https://www.khanacademy.org/test-prep... NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/b...). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academys NCLEX-RN channel: https://www.youtube.com/channel/UCDx5... Subscribe to Khan Academy: https://www.you

"alkali Therapy In Lactic Acidosis" By Zeid J. Khitan, Md, Deepak Malhotra, Md Et Al.

This report attempts to frame the debate about clinical administration of sodium bicarbonate in the setting of lactic acidosis in terms of simple questions. Specifically, we address why we develop lactic acidosis in some circumstances, how acute lactic acidosis impairs cardiovascular function and why sodium bicarbonate may have deleterious effects which limit its utility. We also attempt to explore treatment alternatives to sodium bicarbonate. All authors have no conflict of interest to disclose. 1. Jung B, Rimmele T, Le Goff C, Chanques G, Corne P, Jonquet O, Muller L, Lefrant JY, Guervilly C, Papazian L, Allaouchiche B and Jaber S. Severe metabolic or mixed acidemia on intensive care unit admission: incidence, prognosis and administration of buffer therapy. A prospective, multiple-center study. Crit Care. 2011;15:R238. 2. Kraut JA and Madias NE. Metabolic acidosis: pathophysiology, diagnosis and management. Nat Rev Nephrol. 2010;6:274-85. 3. Lee SW, Hong YS, Park DW, Choi SH, Moon SW, Park JS, Kim JY and Baek KJ. Lactic acidosis not hyperlactatemia as a predictor of in hospital mortality in septic emergency patients. Emerg Med J. 2008;25:659-65. 4. Gabow PA, Kaehny WD, Fennessey Continue reading >>

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  1. StockDogLovr

    HELP - Emergency! Grain overload!

    I bought a 70 lb. bag of barley to supplement my new moms and moms to be. I had fed out maybe 10 lb. of that bag so far. This morning, my friend's kid let the sheep out of lock up for me. There is a side gate that goes to the feed storage barn, and he went into the barn to get hay out for them. He did not close the gate latch properly. This evening, when I arrived to lock everyone in, I found the gate wide open, and my entire herd except for one mom and her lamb were in the feed room. They had made a mess of the hay, and had binged on the barley such that there was maybe 15-20 lb left, so around 40 lb. This was shared among 12 adults (Barbs, a Kat ram, and some Kat/Barb crosses. So, each potentially ate 3.75 lb. Of course, I can't know who might have eaten more of it or less. It was raining when I arrived, and the one ewe with her lamb that was in the pasture had probably had her fill, and I worry that she was feeling punky which is why she was away from the rest.
    All I could think to do for the moment was drench everyone with bloat drench (for foamy bloat). I had this happen once before where the sheep ended up scouring but were otherwise fine, but I did lose one old ewe two days later and I now think this may have been from the bacteria toxin from over-eating. These sheep have had their CD/T; the new moms were revaccinated just a couple of weeks before they delivered.
    What more can I do? I have vitamin B injectable which I've heard can help mitigate the consumption of the body's B vitamins when the bacteria over-grows. I've also heard of giving penicillin injectible by mouth to kill the bacteria that produces the toxin that is so deadly. Should I go ahead and give these things tomorrow morning whether or not there are signs of illness. Everything I read says when they are really sick from this it is too late. But what can I do to mitigate their overeating before they get sick? I've also been told that milk of magnesia would be useful.
    Help!

  2. Bearfootfarm

    I'd just keep a close eye on them and only treat any that show signs of bloating.
    Throwing a lot of medications at them can cause problems too.
    If you HAVE to treat any, I'd give them vegetable oil and baking soda for bloat and acidosis.
    NO food other than hay until you see how their stools look

  3. StockDogLovr

    Thanks, Bearfootfarm - I just panicked because I knew they'd be going overnight without observation since I don't live where they are.
    I did have a similar thing happen once before, where the flock got into grain and alfalfa pellets, and everyone scoured but they were okay otherwise....except for one old ewe who died two days later. I didn't recognize that she was having any problems, and maybe she died coincidentally, but I worry that she died from the clostridium bacteria toxins...
    I will check everyone tomorrow AM. My friend's goats help themselves to baking soda free-fed, but will sheep do the same if offered baking soda? I've never provided it before.

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Details And Download Full Text Pdf: Metabolic Acidosis: Pathophysiology, Diagnosis And Management.

Metabolic acidosis: pathophysiology, diagnosis and management. Nat Rev Nephrol 2010 May 23;6(5):274-85. Epub 2010 Mar 23. Division of Nephrology, Veterans Administration Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA. Metabolic acidosis is characterized by a primary reduction in serum bicarbonate (HCO(3)(-)) concentration, a secondary decrease in the arterial partial pressure of carbon dioxide (PaCO(2)) of approximately 1 mmHg for every 1 mmol/l fall in serum HCO(3)(-) concentration, and a reduction in blood pH. Acute forms (lasting minutes to several days) and chronic forms (lasting weeks to years) of the disorder can occur, for which the underlying cause/s and resulting adverse effects may differ. Acute forms of metabolic acidosis most frequently result from the overproduction of organic acids such as ketoacids or lactic acid; by contrast, chronic metabolic acidosis often reflects bicarbonate wasting and/or impaired renal acidification. The calculation of the serum anion gap, calculated as [Na(+)] - ([HCO(3)(-)] + [Cl(-)]), aids diagnosis by classifying the disorders into categories of normal (hyperchloremic) anion gap or elevated ani Continue reading >>

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  1. CathyN

    Funny looks at the chemist's !!!

    I am type 2. Diet and exercise controlled. 5ft 1 and weigh under 9 stones. I test my BG about 3 times a day now, after a pretty full-on 3 month period of finding out how to eat by testing before and after every meal.
    I have to purchase my own testing strips because they are not on prescription from my surgery - and am getting just a bit miffed at the strange looks I get at the chemist counter when I ask to buy a pot of strips. :evil:
    In fact, at one well known chemist, the woman behind the counter told me she didn't think I was allowed to buy them. At others I have been viewed with what I can only describe as suspicion.
    It's not my imagination. I think they just regard non insulin type 2 s who want to test as a bit weird.
    I have not purchased on-line as I wanted to support my local shops .................. thinking of changing my mind - then I wouldn't have to put up with comments like "are you aware of how much they cost?"
    yes I am!!!!!!!!!!!!!!!!!!!!! I'd rather not have to buy them - I'd rather the NHS promoted self-help and encouraged pro-active control - I'd rather not have to THINK about testing my BG. ANYTHING ELSE YOU"D LIKE TO ADD????????
    Phew - that's better x

  2. librarising

    CathyN wrote
    In fact, at one well known chemist, the woman behind the counter told me she didn't think I was allowed to buy them. Were you wearing shoes or were you in boots at the time :lol:
    It's sad we become some sort of freak show
    Perhaps if you'd had a letter from your mum, saying it was okay :roll:
    Geoff

  3. dawnmc

    Sod the local shop, I bought 300 for £12 from ebay with 300 lancets too. Quite a saving.

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