Metabolic Acidosis Treatment

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

5.6 Metabolic Acidosis - Correction

The most important approach to managing a metabolic acidosis is to treat the underlying disorder. Then with supportive management, the body will correct the acid-base disorder. Accurate analysis & diagnosis is essential to ensure the correct treatment is used. Fortunately, in most cases this is not particularly difficult in principle. Remember though that a patient with a severe metabolic acidosis may be very seriously ill and even with optimal management the patient may not survive. The ECLS Approach to Management of Metabolic Acidosis 1. Emergency: Emergency management of immediately life-threatening conditions always has the highest priority. For example, intubation and ventilation for airway or ventilatory control; cardiopulmonary resuscitation; severe hyperkalaemia 2. Cause: Treat the underlying disorder as the primary therapeutic goal. Consequently, accurate diagnosis of the cause of the metabolic acidosis is very important. In some cases (e.g. methanol toxicity) there may be a substantial delay become the diagnosis can be confirmed so management must be based on suggestive evidence otherwise it will be too late. 3. Losses Replace losses (e.g. of fluids and electrolytes) whe Continue reading >>

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  1. slow2lose

    I haven't started IP yet but one of the things mentioned in in the info session is how the smallest amount of carb can kick you out of ketosis.
    What exactly does that mean physiologically and how detrimental is it? What exactly can kick you "out of ketosis". Things as small as one coffee creamer? A few teaspoons of 2% milk in your tea? Or is is more like an entire apple or banana?
    Not that I plan on sabotaging the program - I'm just looking to learn more about ketosis and exactly how it works. I like info. If anyone can point me to an article or website please do and thanks. :-)

  2. scorbett1103

    Ketosis is when your body has used up its glycogen stores and starts using your fat stores as fuel. This diet (and other ketogenic diets) depletes your carbs so that the fuel your body has to work with is your fat stores.
    When you are getting into ketosis-mode, you may be VERY hungry, a little dizzy/lightheaded, fatigued...it's your body switching over its processing.
    Some folks are very carb sensitive and small slips can push them over the edge quickly out of ketosis. Others have a higher threshold and can stay in ketosis even with a 20-30 carb slip. But in general, because this diet is ALSO about learning better habits and not making excuses to continue eating the way we did before starting IP, it is better NOT to try and figure out how much you can "get away with" and just follow the diet. Slips happen, we are all human - but trying to figure out where the line is for you may be too tempting - better to commit 100% and just go with it

  3. darbs7

    If you are interested in IP, you should follow the plan 100% or maybe try another low-carb plan like South Beach or Suzanne Somers that allow fruit.
    With that said, to answer the question. I have been in maintenance for about 16 months. I "reboot" occasionally to drop a few pounds after a vacation or such. It takes me about 3 days to get into ketosis (maybe 2.5) and it takes about 100 net carbs and sometimes several bad days in a row to knock myself out. I have had 50-60 carbs and think that I am out but if I jump back on in the morning I am not.....but this is how I handled maintenance.
    When I was on phase I....just 100% protocol and nothing less. when I did it, it was stricter too. We could not mix packets and meat at dinner and we couldn't mix veggies with morning packets (I noticed a ton of people do this now).

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What is BASAL METABOLIC RATE? What does BASAL METABOLIC RATE mean? BASAL METABOLIC RATE meaning - BASAL METABOLIC RATE definition - BASAL METABOLIC RATE explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. Basal metabolic rate (BMR) is the minimal rate of energy expenditure per unit time by endothermic animals at rest. It is reported in energy units per unit time ranging from watt (joule/second) to ml O2/min or joule per hour per kg body mass J/(hkg)). Proper measurement requires a strict set of criteria be met. These criteria include being in a physically and psychologically undisturbed state, in a thermally neutral environment, while in the post-absorptive state (i.e., not actively digesting food). In bradymetabolic animals, such as fish and reptiles, the equivalent term standard metabolic rate (SMR) is used. It follows the same criteria as BMR, but requires the documentation of the temperature at which the metabolic rate was measured. This makes BMR a variant of standard metabolic rate measurement that excludes the temperature data, a practice that has led to problems in defining "standard" rates of metabolism for many mammals. Metabolism comprises the processes that the body needs to function. Basal metabolic rate is the amount of energy expressed in calories that a person needs to keep the body functioning at rest. Some of those processes are breathing, blood circulation, controlling body temperature, cell growth, brain and nerve function, and contraction of muscles. Basal metabolic rate (BMR) affects the rate that a person burns calories and ultimately whether that individual maintains, gains, or loses weight. The basal metabolic rate accounts for about 60 to 75% of the daily calorie expenditure by individuals. It is influenced by several factors. BMR typically declines by 12% per decade after age 20, mostly due to loss of fat-free mass, although the variability between individuals is high. The body's generation of heat is known as thermogenesis and it can be measured to determine the amount of energy expended. BMR generally decreases with age and with the decrease in lean body mass (as may happen with aging). Increasing muscle mass has the effect of increasing BMR. Aerobic (resistance) fitness level, a product of cardiovascular exercise, while previously thought to have effect on BMR, has been shown in the 1990s not to correlate with BMR when adjusted for fat-free body mass. But anaerobic exercise does increase resting energy consumption (see "aerobic vs. anaerobic exercise"). Illness, previously consumed food and beverages, environmental temperature, and stress levels can affect one's overall energy expenditure as well as one's BMR. BMR is measured under very restrictive circumstances when a person is awake. An accurate BMR measurement requires that the person's sympathetic nervous system not be stimulated, a condition which requires complete rest. A more common measurement, which uses less strict criteria, is resting metabolic rate (RMR).

Metabolic Acidosis

Patient professional reference Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find one of our health articles more useful. See also separate Lactic Acidosis and Arterial Blood Gases - Indications and Interpretations articles. Description Metabolic acidosis is defined as an arterial blood pH <7.35 with plasma bicarbonate <22 mmol/L. Respiratory compensation occurs normally immediately, unless there is respiratory pathology. Pure metabolic acidosis is a term used to describe when there is not another primary acid-base derangement - ie there is not a mixed acid-base disorder. Compensation may be partial (very early in time course, limited by other acid-base derangements, or the acidosis exceeds the maximum compensation possible) or full. The Winter formula can be helpful here - the formula allows calculation of the expected compensating pCO2: If the measured pCO2 is >expected pCO2 then additional respiratory acidosis may also be present. It is important to remember that metabolic acidosis is not a diagnosis; rather, it is a metabolic derangement that in Continue reading >>

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  1. sharidoto


  2. ljessica0501

    It varies for everyone. For me personally...it took 4 days to register anything and almost 2 weeks to get purple...I have never seen the darkest purple shade. Some people will tell you not to use the sticks, but I like them. My doctor told me to use them 3 times a day for a week to see when my body is the highest. Again...everyone is different. I am highest in the morning, but I hear some people are highest at night.
    Your goals, minus your doubts, equal your reality. - Ralph Marston

  3. PeeFat

    Your body has to burn off all the stored sugar before it goes into ketosis. The shade on the stick should read ' moderate. ' Any higher means you aren't drinking enough water to flush out excess ketones. Too many ketones in your body is unhealthy. So don't think you have to be in the darkest purple range to be eating properly. Also the best time to test is first thing in the morning. Only diabetics need check more than once a day. On atkins we don't even need to use keto sticks. If you follow the rules you will be in ketosis.

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In this video I discuss what is metabolic rate, how to calculate metabolic rate, and how to calculate calories burned, and how many calories burned in a day. I also discuss basal metabolic rate, and resting metabolic rate. Transcript (partial with notes) In this video, I am going to show you the formula on how to calculate your calories burned in a day (metabolic rate). And give some examples. Lets start off with the term metabolic rate. In this video we are defining metabolic rate as the amount of calories you would burn off in a day (24 hours) while at rest. So, not moving around or being active. In the fitness community, There are 2 popular formulas to calculate this. BMR, basal metabolic rate, and RMR, resting metabolic rate. BMR is taken after 8 hours of sleep and 12 hours of fasting. RMR is taken under less restrictions, and has been shown to be statistically more accurate. Lets look at a couple of examples. Here we have kyle and Samantha, and their metrics are here. Kyle is 44 yrs old, is 58 tall, and weighs 160 pounds. Samantha is 33 yrs old, 54 tall, and weighs 126 pounds. The RMR equation for men is (4.55 x Weight in pounds) + (15.88 x Height in inches) - (5*age) + 5, for women the equation is (4.55 x Weight in pounds) + (15.88 x Height in inches) - (5*age) -161. When we plug in Kyles and Sams #s, we see that Kyles RMR is 1592.84 cal/day, and Sams is 1263.62 cal/day. So, after rounding up, this tells us that if Kyle and Sam were to sit around all day, they would need 1583 and 1264 calories per day to maintain their weights. We know that neither Kyle or Samantha are going to sit around all day. So there is a multiplication factor that we must use next. It is based on each of their lifestyles. The factor is as follows 1.200 = sedentary (little or no exercise) 1.375 = lightly active (light exercise/sports 1-3 days/week, approx. 590 Cal/day) 1.550 = moderately active (moderate exercise/sports 3-5 days/week, approx. 870 Cal/day) 1.725 = very active (hard exercise/sports 6-7 days a week, approx. 1150 Cal/day) 1.900 = extra active (very hard exercise/sports and physical job, approx. 1580 Cal/day) Lets say Kyle is very sedentary, so if we multiply his RMR by 1.2 we have .1911.6 cal/day. Now, Samantha is in the very active category, so we need to multiply her RMR by 1.725, and we get2180.4 cal/day . So, based on these calculations Kyle can consume 1912 calories per day to maintain his current weight, and Samantha can consume 2180 calories per day to maintain her weight. Now, You can use the RMR equation and lifestyle multiplication factor to calculate your baseline. Drawbacks A few of things I need to mention. First, this and any other formula used to calculate your metabolic rate is just an estimate. There is a margin for error. Second, muscle mass is very important. Lets look at Kyle, and Jack, who both weigh the same. However, Jack has much more muscle mass than K, since muscle burns more calories than fat, J will have a higher metabolic rate. Third, the type of diet ( for example consuming whole vs processed foods) is not factored either. Bottom Line I dont believe that counting calories is a path to successfully sustaining weight loss in the long run. However, Using the RMR formula and the lifestyle multiplication factor is extremely helpful in increasing your awareness to how many calories you need to consume per day. Which In turn can lead to a higher awareness of how quickly calories you consume add up. Other sources... http://www.scientificpsychic.com/heal... http://www.ncbi.nlm.nih.gov/pubmed/15...

Treatment Of Metabolic Acidosis.

1. Curr Opin Crit Care. 2003 Aug;9(4):260-5. (1)Departemente d'Anesthesie Reanimation Est, Hopital Saint Roch-5, rue Pierre Devoluy, F-06006, Nice. [email protected] Metabolic acidosis is characterized by a decrease of the blood pH associated witha decrease in the bicarbonate concentration. This may be secondary to a decrease in the strong ion difference or to an increase in the weak acids concentration,mainly the inorganic phosphorus. From a conceptual point of view, two types ofnontoxic metabolic acidosis must be differentiated: the mineral metabolicacidosis that reveals the presence of an excess of nonmetabolizable anions, andthe organic metabolic acidosis that reveals an excess of metabolizable anions.Significance and consequences of these two types of acidosis are radicallydifferent. Mineral acidosis is not caused by a failure in the energy metabolicpathways, and its treatment is mainly symptomatic by correcting the blood pH(alkali therapy) or accelerating the elimination of excessive mineral anions(renal replacement therapy). On the other hand, organic acidosis gives evidencethat a severe underlying metabolic distress is in process. No reliable argumentexists to prove th Continue reading >>

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  1. SilentArashikage

    A USB powered ketone meter that analyzes the concentration of acetone in your breath.
    Blue light: Zero to low production of ketones (~0-150 nmol/l)
    Green light: Low production of ketones (~150-400 nmol/l)
    Yellow light: Moderate production of ketones (~ 400-930 nmol/l)
    Red light: High production of ketones ( > 930 nmol/l)
    Considering price of ketone test strips... $75 USD is looking pretty good.
    Sorry for repost, original was removed for looking like spam.

  2. elcorredor

    I have used the:

    ketone blood monitor for beta-hydroxybuterate - the good: I know exactly how to interpret the results (Phinney and Volek), the bad: expensive, so I really don't test that often.

    ketostix for acetoacetate - the good: cheap, the bad: interpretation is difficult since concentration in urine is highly influenced by hydration

    ketonix for acetone - the good: high up front cost but allows frequent testing of acetone levels, the bad: I would like more data on what the different levels of acetone (colors on the ketonix) mean physiologically.
    My opinion: I like the ketonix - I use it several times each day and generally find myself in the yellow and red zones. I can easily move into the red zone, for instance, by consuming some coconut oil or MCT oil. But - I would like to have more information on the physiological significance of the reported acetone levels.

  3. SilentArashikage

    Awesome. Did you happen to compare the methods to see how levels correlated with each other?

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