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Metabolic Acidosis Renal Failure Symptoms

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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. just hopping!

    RE: Bad Breath and Running

    Why do you think it's from running?

  2. Brent

    RE: Bad Breath and Running

    Two possibilities, both of which can be related to your running:
    1. Dehydration. If you are dehydrated, your breath can stink.
    2. Ketosis. This is the condition you get if you follow one of those low-carb, high-protein diets. One of the side-effects of ketosis is bad body odor and bad breath. Are you cutting down on your carbs? Are you dieting? Are you eating lots of meat while shying away from grains, fruits, and vegatables? The effects of a low-carb diet (including bad breath) are going to be magnified if you're exercising.
    So, drink lots of water and eat some carbs.

  3. runnerchick

    RE: Bad Breath and Running

    do you brush your teeth regularly, floss and use mouthwash? flossing often helps a lot.

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