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Mixed Respiratory And Metabolic Acidosis Abg

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Chapter 8. Blood Gases And Acidbase Disorders

Chapter 8. Blood Gases and AcidBase Disorders Chapter 8. Blood Gases and AcidBase Disorders. In: Gomella LG, Haist SA. Gomella L.G., Haist S.A. Eds. Leonard G. Gomella, and Steven A. Haist.eds. Clinician's Pocket Reference: The Scut Monkey, 11e New York, NY: McGraw-Hill; 2007. Accessed April 29, 2018. . "Chapter 8. Blood Gases and AcidBase Disorders." Clinician's Pocket Reference: The Scut Monkey, 11e Gomella LG, Haist SA. Gomella L.G., Haist S.A. Eds. Leonard G. Gomella, and Steven A. Haist. New York, NY: McGraw-Hill, 2007, Blood gases provide information concerning the oxygenation, ventilatory, and acid-base status of the patient. Blood gas results are usually given as pH, P 2, [HCO3], base excess or deficit (base difference), and O2 saturation. This test gives information on acidbase homeostasis (pH, P 2, [HCO3], and base difference) and on blood oxygenation (P 2, O2 saturation). Arterial blood gases (ABG) are most commonly measured; venous, mixed venous, and capillary blood gases are measured less frequently. Indications for blood gas determinations are as follows (Respir Care 2001;46:498505): 2), and oxygenation and O2-carrying capacity (Pa To quantitate the response to thera Continue reading >>

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Popular Questions

  1. MyJourney

    > Ketosis and Sugar Alcohols

    I am trying to figure out why sugar alcohols or too many of them knock me out of ketosis?
    I know for a fact that I do not get a blood sugar spike since I have tested it a bunch of times but could my body still be producing a lot of insulin from these products even though my blood sugar doesnt go up?
    I know I am obviously confused and missing something somewhere but I hope someone can please enlighten me.
    From my understanding if my body thought the sugar alcohols were sugar I would get a blood sugar response as well as an insulin response.
    Can one happen without the other? Why is the result so dramatic with sugar alcohols?

  2. Squid

    I'm curious about this as well as I've noticed the same thing with myself. The sugar alcohols and splenda most definitely push me out of ketosis even though the net carbs are below 20.
    I assumed it was because these are carbs but not counted by atkins in the net carb account. It seems they do affect ketosis although maybe not enough to spike blood sugar. Just a thought. Curious what others have to say.
    Squid

  3. toning_up

    I also get knocked out of ketosis by them. I assume that seeing they are treated by the body as alcohols, then ketosis ceases until they are burned just like it would with regular drinking alcohol. That's the only thing I can think of anyway.

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A short hand-drawn tutorial to explain the basic mechanisms behind simple respiratory acidosis/alkalosis, and the compensatory mechanisms that can be used to correct them

Acid-base Disturbance: A Comprehensive Flowchart-based Diagnostic Approach

Received October 10, 2014; Accepted Date: February 28, 2015; Published Date: March 04, 2015 Citation: Ali AA, Abdullah AM, Jaber AS (2015) Acid-Base Disturbance: A Comprehensive Flowchart-based Diagnostic Approach. Emerg Med (Los Angel) 5:245. doi:10.4172/2165-7548.1000245 Copyright: 2015 Ali AA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Approaching acid-base disturbances is considered a medical problem among healthcare practitioners. Practicewise, system-based approach should be used to simplify the diagnosis and facilitate management. Flowcharts are considered education tools that can organize thoughts and standardize care. Using a flowchart approach make the practitioners solve any complex acid-base disturbance and facilitate the teaching of such topic. Acid-base; Metabolic; Respiratory; Acidosis; Alkalosis; Anion gap; Osmol gap; Flowchart The acid-base homeostasis is carefully balanced through a delicate series of interactions which involve organs such as the lungs and kidneys, a Continue reading >>

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  1. Kingleonidas

    Metformin and DKA>>

    Just wondering, I have read that taking metformin without food can lead to dka, or does this usually pertain to people who eat absolutely nothing or very little all day?
    I am going to start my 850mg three times a day at about 4-5am, 9-10am, then again at the end of the day when I go to bed.
    Has anyone had a problem with metformin and dka?
    Thanks.

  2. MarkM

    no, metformin won't cause dka. its main action is to inhibit glycogenolysis. only insufficient insulin will cause dka. metformin can cause lactic acidosis, but it is not the same thing as ketoacidosis (dka).

  3. Ken S

    Studies have also shown that the risk of getting lactic acidosis with or without taking metformin is about the same. This is an extremely rare affliction that only really seems to affect patients with serious preexisting health problems. It's really not an issue to be concerned about.
    As for DKA, metformin is contradicted in cases where patients are experiencing symptoms of DKA, and therefore it may be surmised that it may worsen this condition, although it does not seem to cause it.

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Discussion of how to diagnose complex acid-base disorders in which the overall pH is normal. Multiple examples are included and worked out in detail.

Mixed Acid-base Disorders.

1. Vet Clin North Am Small Anim Pract. 1989 Mar;19(2):307-26. (1)Department of Small Animal Clinical Sciences, University of Minnesota College of Veterinary Medicine, St. Paul. Mixed acid-base disturbances are combinations of two or more primary acid-basedisturbances. Mixed acid-base disturbances may be suspected on the basis offindings obtained from the medical history, physical examination, serumelectrolytes and chemistries, and anion gap. The history, physical examination,and serum biochemical profile may reveal disease processes commonly associatedwith acid-base disturbances. Changes in serum total CO2, serum potassium andchloride concentrations, or increased anion gap may provide clues to theexistence of acid-base disorders. Blood gas analysis is usually required toconfirm mixed acid-base disorders. To identify mixed acid-base disorders, bloodgas analysis is used to identify primary acid-base disturbance and determine ifan appropriate compensatory response has developed. Inappropriate compensatoryresponses (inadequate or excessive) are evidence of a mixed respiratory andmetabolic disorder. The anion gap is also of value in detecting mixed acid-basedisturbances. In high anion Continue reading >>

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  1. Import

    Hi there, I've read older posts about ketones and ketosis and about seeing these things in your urine. What do they look like?

  2. Import

    HAHAHAHAHAHAHAHhahahahaah... Okay, Ketones? HAHHAAAHAHAAA..hahaa... okay seriously. You have to go get the KetoSticks to measure your urine. As far I know they are not little creatures swimming in your urine. As cool as that does sound...

  3. Import

    Ketones are released when your body is in ketosis, which is basically hardcore fat burning mode. Certain toxins are stored in fat, among other things. Burning fat releases all this stuff into your blood stream, and it shows up in your urine. You cannot see ketones, you use urine testing strips to check your ketone content.

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