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Metabolic And Respiratory Acidosis And Alkalosis Made Easy

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This video describes a little about our method of teaching the physical exam at the bedside. Our goal is not only to teach the exam, but also to teach others to teach the technique of physical diagnosis! Here is a link to the document describing our teaching methods (shown in the video): http://stanford25blog.stanford.edu/20... More about us: The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future physicians and other healthcare provides better at the art of physical diagnosis. Visit us: Website: http://stanfordmedicine25.stanford.edu/ Blog: http://stanford25blog.stanford.edu/ Facebook: http://www.facebook.com/StanfordMedic... Twitter: https://twitter.com/StanfordMed25

Blood Gas Analysis For Bedside Diagnosis

Department of Oral and Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India Address for correspondence: Dr. Virendra Singh, Department of Oral and Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana - 124 001, India. E-mail: [email protected] Author information Copyright and License information Disclaimer Copyright : National Journal of Maxillofacial Surgery This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Arterial blood gas is an important routine investigation to monitor the acid-base balance of patients, effectiveness of gas exchange, and the state of their voluntary respiratory control. Majority of the oral and maxillofacial surgeons find it difficult to interpret and clinically correlate the arterial blood gas report in their everyday practice. This has led to underutilization of this simple t Continue reading >>

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  1. nebraska15

    Keto diet - morning blood sugar are still high

    My dr recently took me off my type 2 meds because I'd been doing so well but my morning readings where my only issue. To watch that with continued diet n exercise
    so I've been a week on this keto diet where my carbs are under 20 carbs for the day. I've lost 5 lbs so far but my morning fasting blood sugar numbers are still high around 147 and my dr told me to keep them under 130 for mornings. Why is this? I'm frustrated I thought this diet would be great for me to loose weight n would make my morning numbers better because hardly any carbs. I basically eat meat n vegetables and do Jazzercise 5 days a week…so confused. Any advice or ideas helpful.

  2. Pegsy

    I deal with Dawn Phenomenon too. Stress, anxiety and poor sleep really have an impact on the morning glucose. Someone told me that protein just before bed can help. Lately I have been consuming a spoonful of peanut butter at bedtime. I does seem to help. However if I am stressed and not sleeping well, nothing helps. Stress reduction and plenty of good sleep go a long way.

  3. haoleboy

    It would be nice if the only "enemy" was the glucose we consumed. Sadly our bodies are amazingly adept at producing and storing glucose all on their own.
    If we're lucky after walking the straight and narrow for a while our bodies get on board and stop sabotaging our efforts
    ❤ eat as if your life depends on it
    Steve

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Chemical bonding introduction video shows how covalent bond means 2 hydrogen atoms can stick together to form a hydrogen molecule, H2. The video also explains why helium cannot form bonds and hence is called a noble gas. Subscribe to watch more online chemistry courses & science videos: http://www.youtube.com/channel/UCiX8p... About Atomic School: Atomic School supports the teaching of Atomic Theory to primary school & science students . We provide lesson plans, hands-on classroom resources, demonstration equipment, quizzes and a Teacher's Manual to primary school teachers. Animated videos that clearly explain the scientific ideas supports learning by both teachers and students. As a teacher, you don't have to look anywhere else to implement this program. Our work has been verified by science education researchers at the University of Southern Queensland, Dr Jenny Donovan and Dr Carole Haeusler, who confirm that primary students are capable of learning much more complex scientific concepts than previously thought, and crucially, that they love it. Students run to class! The program has been trialed in Australian schools as well as schools in the Philippines, Iran and India. It is c

Why Measure Blood Gases? A Three-part Introduction For The Novice. Part 2.

Why measure blood gases? A three-part introduction for the novice. Part 2. Why measure blood gases? A three-part introduction for the novice. Part 2. Arterial blood gases (ABG), a clinical test that involves measurement of the pH of arterial blood and the amount of oxygen and carbon dioxide dissolved in arterial blood, is routinely used in the diagnosis and monitoring of predominantly critically/acutely ill patients being cared for in hospital emergency rooms and intensive care units. The test allows assessment of two related physiological functions: pulmonary gas exchange and acid-base homeostasis. This is the second of three articles intended to explain the clinical value of ABG to those with little or no experience of the test. The first article focused on the physiological aspects that underpin an understanding of patient ABG results. The concepts of pH, acid, base and buffer were explained, and the parameters generated during ABG were defined and related to pulmonary gas exchange and acid-base homeostasis. In this second article attention turns to the clinical significance of abnormal ABG results, specifically abnormality in three ABG parameters (pH, pCO2(a) and bicarbonate) Continue reading >>

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  1. Nikos Konstas

    I have been on low carb/keto for several years. It’s doable but its not easy as almost everything these days is full of carbs & low in fat. My advice would be:
    know your macros, use a keto calculator, like this one: KetoDiet Buddy - Easy Way to Calculate Your Macros on a Ketogenic Diet | The KetoDiet Blog
    Make sure your get enough electrolytes. You can make your own electrolyte drinks.
    In the long run, unless you’re treating a condition, you don’t want to go “zero carb”.
    Don’t be afraid to eat fats but know what fats to eat - not all fats are the same.
    People new to keto seem to think all you need is cheese and bacon - don’t make the same mistake - you need to have a balanced low-carb diet.

    Avoid low carb supplements/ meal replacements / ketone drinks at any cost. Know what you eat and learn to cook :)
    I run a Keto Blog with my partner - you can find guides and info on it.

    Best of luck!

  2. Peter Weintraub

    Hello - Thanks for reaching out!
    I personally have used a ketogenic diet long-term, and I have all of my clients follow one on their weight loss programs.
    In terms of tips, you want to keep your macros in this order: Fat (60–70%), Protein (20–30%) and Carbs (0–10%).
    There are no cheat days, and it will take cutting out fruits and starchy veggies for most people.
    I’ve yet to find any convincing evidence that you need to be careful following this type of nutrition long-term. So long as you’re not consuming too much protein, you’re not at risk for ketoacidosis, which many people often confuse for ketosis.
    My partner Evan and I recently did a podcast episode on this. Feel free to check it out at https://itunes.apple.com/us/podc...
    Hope this helps! If you have any further questions, feel free to email me at the address below.

    Peter Weintraub
    Founder and Permanent Weight Loss Expert at Fitness Retriever

    [email protected]

  3. Ron Hunter

    The precaution is to try to avoid cheating. The combination of refined carbohydrates and fat is something that should be avoided by all people. It’s not that fat is bad, it’s the combination.

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Metabolic acidosis and alkalosis made easy for nurses. This NCLEX review is part of an acid base balance for nurses series. In this video, I discuss metabolic acidosis causes, signs & symptoms, nursing interventions, and "How to Solve ABGs Problems using the TIC TAC TOE method" for patients in metabolic acidosis. Quiz Metabolic Acidosis vs Metabolic Alkalosis: http://www.registerednursern.com/meta... Lecture Notes on Metabolic Acidosis: http://www.registerednursern.com/meta... Metabolic Alkalosis Video: https://youtu.be/hmc0y6pJ1tA Solving ABGs with TIC TAC TOE: https://www.youtube.com/watch?v=URCS4... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos":

Acid Base Calculation Made Easy !

Posted by Ash from IP 74.138.144.66 on October 12, 2006 at 17:50:13: 6 steps to ABG analysis, go step by step in the very same order:- 1.Chk whether the pt is academic or alkalemic,by looking at the arterial pH (NL = 7.38 7.42) 2. Chk whether the ABG abnormality is due to a primary repiratory or metabolic disorder by chking the PCo2 levels( NL 38-42) and HCO3 levels (NL 22-26) 3. Now if there is respiratory component identified,chk whether this is acute or chronic respiratory acidosis or alkalosis. 4. Now if u identify a metabolic component ,chk whether it is high anion or normal anion gap M.Acidosis 5. Chk wether the respiratory system is adequetly compensating for this primary metabolic disorder. 6. Now u identify a high anion gap M.A,chk the corrected HCO3 level,y we do this coz to know wether there was a intial primary disorder ,before this new metabolic disorder developed. VERY IMPO FORMULAS :- U have to learn the formulas byheart) In Metabolic acidosis pH and HCO3 (DECREASES) So to compensate for every 1 mmol/l of drop in HCO3 , 1.2mmhg of PCO2 shld decrease So to compensate for every 1 mmol/l of increase HCO3, 0.07 mmhg of pco2 will increase. In Resp .Acidosis (PH - DECREAS Continue reading >>

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  1. 2blessed4stress

    metformin and lactic acidosis

    I am hoping that I can get some guidance from the members here. There are many of you that have a wealth of information on diabetes and things related so please bear with me. I went to the doctor yesterday and finally asked her for metformin er and was all set to try it out. Then I read the paper that came with it from the pharmacy. The warning about lactic acidosis stopped me in my tracks. Now I am afraid to take it. I searched the posts her a DD about lactic acidosis and I also found that some members said it caused them to be really fatigued. Another member posted that she had trouble with exercise because it caused leg cramps. I feel so overwhelmed now. I really wanted to try it out I believe it could help me but I don't want to put my life at risk to try it. I looked up lactic acidosis and I was reading about the bloods ph and acid in your blood. I have a problem with uric acid in my blood but I believe that is not related to lactic acidosis. I have had a problem with kidney infections and a lot of crystals in my urine and kidney stones the past year, but I believe my kidney function is ok. Does metformin cause lactic acidosis very often? Are the symptoms of lactic acidosis easy enough to pick up on so it can be caught early. I am sorry I am such a worry wart. Thank you in advance for any guidance/reassurance from you.

  2. furball64801

    All I can tell you is that millions upon millions take met with 0 issues. You are reading the absolute worst side affects. Have you see tv commericails on meds that is any meds. They say could cause heart attack, fatigue, even death no kidding. I been on met and so has my diabetic family and 0 issues other than a tad of diahrea. To me its extemely rare many here are on met me a very very long time on it. What am I saying to me its about the best D med out there other than exercise its free. It is just my opion for what its worth, I know others might have other ideas and of course its is there opinion also. Some take b-12 if they get fatigued on met, I do not get that way, all I can say is to me its as safe as can be.

  3. coravh

    Every drug has potential side effects. Some more common than others. I'm not sure of the exact specifics, but I believe that for a side effect to be listed, it needs to happen in 1% of the people that take it.
    My husband has been on met with no side effects other than a little bit of tummy trouble. I have a dozen local diabetic friends (through volunteer work) that are also on it, and have no side effects. I do have one friend who reacts to everything and has no issues with it. I think i've only seen people with this issue a couple of times after about 15 years online haunting a variety of message boards.
    Take for example my warfarin. It can cause bleeding. Even a baby aspirin can cause this. And it does happen to some people. But the vast majority of folks don't have issues.
    Do you have some history of lactic acidosis? Or is this simply general anxiety over something new?
    All meds are a cost benefit analysis. Do you want to try the drug to alleviate a serious issue ( like high blood sugar) or do you decide to refuse it on the basis of a rare side effect and maybe get into trouble due to glucose issues? Why not try it? Discuss with your phamacist what to look for if you are worried. But basically it is a safe, effective drug.
    Cora

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    Department of Oral and Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India Address for correspondence: Dr. Virendra Singh, Department of Oral and Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana - 124 001, India. E-mail: [email protected] Author information Copyright and License information Disclaimer Copyright : Nati ...

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