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Mixed Respiratory And Metabolic Acidosis

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Simple Method Of Acid Base Balance Interpretation

A FOUR STEP METHOD FOR INTERPRETATION OF ABGS Usefulness This method is simple, easy and can be used for the majority of ABGs. It only addresses acid-base balance and considers just 3 values. pH, PaCO2 HCO3- Step 1. Use pH to determine Acidosis or Alkalosis. ph < 7.35 7.35-7.45 > 7.45 Acidosis Normal or Compensated Alkalosis Step 2. Use PaCO2 to determine respiratory effect. PaCO2 < 35 35 -45 > 45 Tends toward alkalosis Causes high pH Neutralizes low pH Normal or Compensated Tends toward acidosis Causes low pH Neutralizes high pH Step 3. Assume metabolic cause when respiratory is ruled out. You'll be right most of the time if you remember this simple table: High pH Low pH Alkalosis Acidosis High PaCO2 Low PaCO2 High PaCO2 Low PaCO2 Metabolic Respiratory Respiratory Metabolic If PaCO2 is abnormal and pH is normal, it indicates compensation. pH > 7.4 would be a compensated alkalosis. pH < 7.4 would be a compensated acidosis. These steps will make more sense if we apply them to actual ABG values. Click here to interpret some ABG values using these steps. You may want to refer back to these steps (click on "linked" steps or use "BACK" button on your browser) or print out this page for Continue reading >>

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  1. GMX

    I've been ketoing now almost 5 weeks but have been struggling to get my fasting blood glucose down. This morning my blood ketones registered at .8 but my blood glucose was 122. I'm eating about 90-100g protein a day but I weigh 217. Is it still just too much protein? Carb intake is negligible. Fat intake is probably 250g a day. Any thoughts? Thanks.

  2. Mare

    For your weight, that does not seem like a lot of protein to me. I weigh 145, and I've calculated my minimum protein at 60g and can go as high as 100g.
    As to blood glucose, there's a phenomenon with ketosis where fasting BG is elevated, but it is benign. Peter at Hyperlipid had a post on his blog some time ago that provided the science behind this, but I could not follow it. This may be what you're experiencing.

    My endo told me that this is true, and he goes by my A1C rather than my fasting because of this.

  3. carolT

    Protein could be lower if you are female (sorry, can't tell) and/or not exercising, but the ketone level indicates you are accessing some fat overnight.

    Have you taken glucose readings at night or before your main meal? Are they lower? You may be experiencing "dawn phenomenon" where glucose is higher in the morning because 1.) the same hormones that wake you up also give you some extra glucose to start the day or 2.) your glucose dropped overnight and your body reacts by making more of it. Also, if you happen to get up in the middle of the night, you could see what your glucose is doing before your normal waking time.

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(Visit: http://www.uctv.tv/) Eve Van Cauter, Professor of Medicine at the University of Chicago, directs the the Sleep, Metabolism and Health Center. She explores how sleep loss and poor sleep quality are risk factors for obesity and diabetes. Series: "UCSF Center for Obesity Assessment, Study and Treatment" [12/2012] [Health and Medicine] [Show ID: 24581]

Acidbase Disturbances In Intensive Care Patients: Etiology, Pathophysiology And Treatment

Acidbase disturbances in intensive care patients: etiology, pathophysiology and treatment Center for Critical Care Nephrology, CRISMA Center, Department of Critical Care Medicine Correspondence and offprint requests to: John A. Kellum; E-mail: [email protected] Search for other works by this author on: Center for Critical Care Nephrology, CRISMA Center, Department of Critical Care Medicine Nephrology Dialysis Transplantation, Volume 30, Issue 7, 1 July 2015, Pages 11041111, Mohammed Al-Jaghbeer, John A. Kellum; Acidbase disturbances in intensive care patients: etiology, pathophysiology and treatment, Nephrology Dialysis Transplantation, Volume 30, Issue 7, 1 July 2015, Pages 11041111, Acidbase disturbances are very common in critically ill and injured patients as well as contribute significantly to morbidity and mortality. An understanding of the pathophysiology of these disorders is vital to their proper management. This review will discuss the etiology, pathophysiology and treatment of acidbase disturbances in intensive care patientswith particular attention to evidence from recent studies examining the effects of fluid resuscitation on acidbase and its consequences. acidbas Continue reading >>

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  1. ZeroPageX

    So, as I understand it, electrolytes get flushed out of the body more quickly on Keto, which means more electrolytes are required with the diet. This explains why 5,000mg of sodium are recommended, but I keep hearing 1,000mg is the recommended daily amount of potassium on Keto, and that one shouldn't consume too much at once. However, the recommended daily amount off of Keto seems to be 4,700mg! Is 1,000mg just a minimum, or is there a reason to eat less of it on Keto?

  2. Daisy

    Remember you do not (and should not) rely on supplements for your mineral and vitamin intake. You should be getting the bulk of them from the best place - food. Avocados are loaded with potassium for example. Getting extra sodium is important in itself if you do not get enough through food but also because it helps retain potassium. You have to be careful also with some minerals and vitamins about taking too much if you use supplements - potassium is one. You would have a hard time eating too much potassium I suspect unless you already have high levels and are going a bit mad on potassium-rich foods.

  3. ZeroPageX

    Good to know. I love avacados, mushrooms, pumpkin seeds, etc. So, when I hear take in 1,000mg, are they saying take in at least that to make up for the diuretic effect of Keto?

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Respiratory acidosis #sign and symptoms of Respiratory acidosis Respiratory acidosis ABGs Analyse https://youtu.be/L5MWy1iHacI Plz share n subscribe my chanel is a condition that occurs when the lungs cant remove enough of the Suctioning https://youtu.be/hMJGkxvXTW0 carbon dioxide (CO2) produced by the body. Excess CO2 causes the pH of blood and other bodily fluids to decrease, making them too acidic. Normally, the body is able to balance the ions that control acidity. This balance is measured on a pH scale from 0 to 14. Acidosis occurs when the pH of the blood falls below 7.35 (normal blood pH is between 7.35 and 7.45).Rinku Chaudhary NSG officer AMU ALIGARH https://www.facebook.com/rinkutch/ Respiratory acidosis is typically caused by an underlying disease or condition. This is also called respiratory failure or ventilatory failure. Suctioning https://youtu.be/hMJGkxvXTW0 Normally, the lungs take in oxygen and exhale CO2. Oxygen passes from the lungs into the blood. CO2 passes from the blood into the lungs. However, sometimes the lungs cant remove enough CO2. This may be due to a decrease in respiratory rate or decrease in air movement due to an underlying condition such as: asthma COPD pneumonia sleep apnea TYPES Forms of respiratory acidosis There are two forms of respiratory acidosis: acute and chronic. Acute respiratory acidosis occurs quickly. Its a medical emergency. Left untreated, symptoms will get progressively worse. It can become life-threatening. Chronic respiratory acidosis develops over time. It doesnt cause symptoms. Instead, the body adapts to the increased acidity. For example, the kidneys produce more bicarbonate to help maintain balance. Chronic respiratory acidosis may not cause symptoms. Developing another illness may cause chronic respiratory acidosis to worsen and become acute respiratory acidosis. SYMPTOMS Symptoms of respiratory acidosis Initial signs of acute respiratory acidosis include: headache anxiety blurred vision restlessness confusion Without treatment, other symptoms may occur. These include: https://www.healthline.com/health/res... sleepiness or fatigue lethargy delirium or confusion shortness of breath coma The chronic form of respiratory acidosis doesnt typically cause any noticeable symptoms. Signs are subtle and nonspecific and may include: memory loss sleep disturbances personality changes CAUSES Common causes of respiratory acidosis The lungs and the kidneys are the major organs that help regulate your bloods pH. The lungs remove acid by exhaling CO2, and the kidneys excrete acids through the urine. The kidneys also regulate your bloods concentration of bicarbonate (a base). Respiratory acidosis is usually caused by a lung disease or condition that affects normal breathing or impairs the lungs ability to remove CO2. Some common causes of the chronic form are: asthma chronic obstructive pulmonary disease (COPD) acute pulmonary edema severe obesity (which can interfere with expansion of the lungs) neuromuscular disorders (such as multiple sclerosis or muscular dystrophy) scoliosis Some common causes of the acute form are: lung disorders (COPD, emphysema, asthma, pneumonia) conditions that affect the rate of breathing muscle weakness that affects breathing or taking a deep breath obstructed airways (due to choking or other causes) sedative overdose cardiac arrest DIAGNOSIS How is respiratory acidosis diagnosed? The goal of diagnostic tests for respiratory acidosis is to look for any pH imbalance, to determine the severity of the imbalance, and to determine the condition causing the imbalance. Several tools can help doctors diagnose respiratory acidosis. Blood gas measurement Blood gas is a series of tests used to measure oxygen and CO2 in the blood. A healthcare provider will take a sample of blood from your artery. High levels of CO2 can indicate acidosis.

Combined Respiratory And Metabolic Acidosis Caused By Bronchospasm In Anaphylactic Shock

Zieliński J. · Koziorowski A. From the Department of Internal Medicine (Prof. Dr. B. Jochweds) and Department of Pathophysiology (Dr. A. Koziorowski), Institute of Tuberculosis, Warszawa Authors’ address: Dr. Jan Zielinski and Dr. Antoni Koziorowski, Instytut Gruzlicy, Klinika Chorób Wewnetrznych, Plocka 26, Warszawa (Poland) Continue reading >>

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  1. MrMaggs

    A better way to test blood ketones?

    Hi all,
    I hope you had a great weekend. I`m an entrepreneur based in Japan developing smart sensors for advanced ketone detection. I got involved in this area after one of my friends was diagnosed with Type 1 diabetes. I`d be very grateful to ask a few questions on checking ketones:
    1. Roughly how many times a week would you say you check your ketone levels, and how? (test strips/blood reader/breath analyzer)
    2. If you don`t check your *blood* ketones, why? Is it because urine strips are good enough, or because of the cost, or because you are already drawing blood for glucose checking and don't want to do this again for ketones?
    3. If there was a convenient way to test the same ketones as a blood reader (BHB) through your urine for significantly less cost, would that be of interest? Why/why not?
    Thank you so much!
    Daniel

  2. karena

    Hi Daniel, welcome to DD. Your friend is fortunate to have you looking at ways to make life easier. I just want to tell you that measuring ketones would be important when a T1 is sick or has DKA symptoms but it's not something we do all the time. So I put some answers in blue bold for your questions.

    Originally Posted by MrMaggs
    Hi all,
    I hope you had a great weekend. I`m an entrepreneur based in Japan developing smart sensors for advanced ketone detection. I got involved in this area after one of my friends was diagnosed with Type 1 diabetes. I`d be very grateful to ask a few questions on checking ketones:
    1. Roughly how many times a week would you say you check your ketone levels, and how? (test strips/blood reader/breath analyzer) 0
    2. If you don`t check your *blood* ketones, why? Is it because urine strips are good enough, or because of the cost, or because you are already drawing blood for glucose checking and don't want to do this again for ketones? If I need to check I just use urine strips because they are good enough and they are cheap. Please know that we don't really "draw blood" we do a tiny finger prick with a tiny lancet and it's a tiny drop.
    3. If there was a convenient way to test the same ketones as a blood reader (BHB) through your urine for significantly less cost, would that be of interest? Why/why not? This already exists in some BG meters.
    Thank you so much!
    Daniel

  3. Jollymon

    Didn't the OP do this post last year?
    In this thread ---> https://www.diabetesdaily.com/forum/...gs/#post829852

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