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Mixed Respiratory And Metabolic Acidosis Causes

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Recognizing Mixed Acid Base Disturbances - Acvim 2008 - Vin

A proper understanding of the terms acidosis, alkalosis, acidemia, and alkalemia is necessary to differentiate simple from mixed acid base disorders.1 Acidosis and alkalosis refer to the pathophysiologic processes that cause net accumulation of acid or alkali in the body, whereas acidemia and alkalemia refer specifically to the pH of extracellular fluid. In acidemia, the extracellular fluid pH is less than normal and the [H+] is higher than normal. In alkalemia, the extracellular fluid pH is higher than normal and the [H+] is lower than normal. Due to the effectiveness of compensatory mechanisms, animals can have acidosis or alkalosis but not acidemia or alkalemia. For example, a dog with chronic respiratory alkalosis may have a blood pH that is within the normal range. Such a patient has alkalosis, but does not have alkalemia. The primary acid base disorders are divided into metabolic and respiratory disturbances: metabolic acidosis, metabolic alkalosis, respiratory acidosis, and respiratory alkalosis. The Henderson-Hasselbach equation in its clinically relevant form emphasizes the relationship between the metabolic and respiratory systems in determining extracellular fluid pH: T Continue reading >>

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  1. rphlslv

    So I've read that ketosis is actually a state wherein your body is in starvation, and that it is not the best way to lose fat.
    http://strength-training.wikidot.com...-final-verdict
    "First, they are not natural by-products of fat metabolism. The normal beta-oxidation of fats does produce ketone bodies but these are incorporated into the normal cycle of energy production, called the Krebs cycle. When ketone bodies are circulating in your bloodstream, it signals an abnormal physiologic state, called starvation. They are not incorporated into the normal energy cycle, the Krebs cycle, and spill into the bloodstream."
    Can someone explain this to me...

  2. Grol

    Dr. Eades would love to

  3. jo

    The Eades article is a good one. Not sure why Dr Smith thinks his opinion is the 'final verdict' since he presents no scientific data to prove his point. If you follow the link to his site you will notice he is selling a magical weight loss supplement - LOL.

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In this video I discuss metabolic acidosis! This is a part of my playlist for Acid Base Imbalance disorders. This video is perfect for the RN or LVN nursing student studying for the NCLEX or as a review for current RNs or LVNs. Easy Nursing is a channel dedicated to making quick videos aiming for 5-6 minutes long each per topic. This length is short enough to be manageable to allow for you to watch every video you need and still allow you time for reading or spending time with family. The videos are long enough to allow me to explain the material enough to hopefully prepare you for your tests and to provide patient care. These videos are great for RN or LVN nursing students preparing for the NCLEX RN or LVN. Please like this video if it helped you and subscribe for more NCLEX review videos! If you have an idea for a video you would like me to make, comment on this video! I make these videos to create a Youtube channel that I can utilize as reference for application for MSN Education programs and positions to work as a nursing educator. So please subscribe to my channel to support me in my endeavors! The information in this video is for educational purposes only and is not medical advice. Keywords: nursing nclex RN LVN student school questions summary easy simple metabolic acidosis respiratory alkalosis acid base imbalance

Acid–base Imbalance

Acid–base imbalance is an abnormality of the human body's normal balance of acids and bases that causes the plasma pH to deviate out of the normal range (7.35 to 7.45). In the fetus, the normal range differs based on which umbilical vessel is sampled (umbilical vein pH is normally 7.25 to 7.45; umbilical artery pH is normally 7.18 to 7.38).[1] It can exist in varying levels of severity, some life-threatening. Classification[edit] A Davenport diagram illustrates acid–base imbalance graphically. An excess of acid is called acidosis or acidemia and an excess in bases is called alkalosis or alkalemia. The process that causes the imbalance is classified based on the cause of the disturbance (respiratory or metabolic) and the direction of change in pH (acidosis or alkalosis). This yields the following four basic processes: process pH carbon dioxide compensation metabolic acidosis down down respiratory respiratory acidosis down up renal metabolic alkalosis up up respiratory respiratory alkalosis up down renal Mixed disorders[edit] The presence of only one of the above derangements is called a simple acid–base disorder. In a mixed disorder more than one is occurring at the same time. Continue reading >>

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  1. PROVERBS31JULIA

    I already have the PrecisionXtra made by Abbott. It will test both ketones and glucose - but not on the same strip!!
    You buy glucose strips separate and they are like other brands where you usually buy 50-100 at a time, and maybe a bit higher $$ than average glucose.
    Ketone strips are usually easier to buy online (EBay, Amazon, etc). They are usually 10 to a box and price runs $2-3 per strip - or cheaper maybe in Canada. They are a different foil pack color so you can either go by color or by the fact that glucose or Ketone are clearly printed on whichever one you are looking at. In addition, I have seen Ketone strips "cheaper" but they are closer to their expiration date. So you watch out for that.
    To my mind, the PrecisionXtra tests too high for glucose. Or else the old model I had (freestyle, also by Abbott, glucose only, a hand me down from my stepdad) was not working properly and read Low and/or I'm still in denial.
    What's that saying - there is no river in denial??
    So I have been going nuts trying to analyze the prices for the Nova Max Plus equipment, which from all appearances, will do the same as my PrecisionXtra but cheaper. Some will sell just the meter itself and I prolly don't need a new lancet specifically. EBay seems to have the cheapest just for the box of Ketone strips. So I may by the meter from Amazon or from the NovaMax website, and buy the strips from eBay. Or I may get the whiz-bang "free" meter with your choice of 2 box configurations - 2 boxes of ketone strips (total of 20 strips); 2 boxes of glucose (total 100 glucose strips); or 1 box Ketone (10) strips and 1 box of glucose (50) --- all three combos land at $39.98 or some such (and I am pretty much repeating what someone else said earlier here, or in another thread, sorry, more as confirming that I wasn't crazy since someone else had same info.)... thinking I may just do it that way, and then plan to buy replacement strips from the eBay vendors.
    Decisions decisions...
    Then I want to compare with the PrecisionXtra and see what my numbers are...
    Proverbs 31:17 She girds herself with strength,
    And strengthens her arms.


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  2. RITA1956

    What is the site to get it? It's a different meter than one a diabetic uses to check for glucose level right?
    Rita--Topsham,Maine--Eastern Time
    5% Weight Loss Challenge - Rowdy Rebels
    -You can find positive or negative in any situation depending on what you're looking for.
    -Nothing can taste as good as skinny and healthy is going to feel. *Psst, my version of skinny is me in size 12 jeans.

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  3. TRACY6659

    So I have questions about the blood testing for ketones. Are you using the standard diabetic testing supplies? The meter looks the same, but are there different types of test strips? or is it the same and there is a different reading you look for? obviously I'm confused
    * Tracy *
    Washington


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What is ALKALOSIS? What does ALKALOSIS mean? ALKALOSIS meaning - ALKALOSIS pronunciation - ALKALOSIS definition - ALKALOSIS explanation - How to pronounce ALKALOSIS? Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Alkalosis is the result of a process reducing hydrogen ion concentration of arterial blood plasma (alkalemia). In contrast to acidemia (serum pH 7.35 or lower), alkalemia occurs when the serum pH is higher than normal (7.45 or higher). Alkalosis is usually divided into the categories of respiratory alkalosis and metabolic alkalosis or a combined respiratory/metabolic alkalosis. Respiratory alkalosis is caused by hyperventilation, resulting in a loss of carbon dioxide. Compensatory mechanisms for this would include increased dissociation of the carbonic acid buffering intermediate into hydrogen ions, and the related excretion of bicarbonate, both of which lower blood pH. Hyperventilation-induced alkalosis can be seen in several deadly central nervous system diseases such as strokes or Rett syndrome. Metabolic alkalosis can be caused by repeated vomiting, resulting in a loss of hydrochloric acid within the stomach content. Severe dehydration, and the consumption of alkali are other causes. It can also be caused by administration of diuretics and endocrine disorders such as Cushing's syndrome. Compensatory mechanism for metabolic alkalosis involve slowed breathing by the lungs to increase serum carbon dioxide, a condition leaning toward respiratory acidosis. As respiratory acidosis often accompanies the compensation for metabolic alkalosis, and vice versa, a delicate balance is created between these two conditions. Metabolic alkalosis is usually accompanied by low blood potassium concentration, causing, e.g., muscular weakness, muscle pain, and muscle cramps (from disturbed function of the skeletal muscles), and muscle spasms (from disturbed function of smooth muscles). It may also cause low blood calcium concentration. As the blood pH increases, blood transport proteins, such as albumin, become more ionized into anions. This causes the free calcium present in blood to bind more strongly with albumin. If severe, it may cause tetany.

Acid-base Disturbances In Children, Acidosis, Alkalosis

Acid-base disturbances in children, Acidosis, Alkalosis Acid-base disturbances in children, Acidosis, Alkalosis The pH of the blood is controlled via three systems: chemical buffering, respiratory function, and renal function. Acidosis means a clinical disturbance in which there is an increase in plasma acidity, whether due to increased production by the tissues, loss of buffering ability or decreased clearance by the kidneys. A multitude of problems, congenital and acquired, can result in metabolic acidosis. The hallmark of a metabolic acidosis is a low serum HCO3 level. Metabolic alkalosis means the patient has an elevated HCO3, most typically seen with administration of loop diuretics. A respiratory acidosis means an increase in the partial pressure of carbon dioxide in the blood (PaCO2) due to inadequate respiration. Respiratory alkalosis typically occurs in response to a metabolic stimulus, such as hyperammonemia (seen in urea cycle defects) or diabetic ketoacidosis (DKA). Metabolic and respiratory mechanisms affect the acid-base state. The relationship between the pH and PaCO2 is dependent upon the plasma bicarbonate-plasma carbonic acid pool. To estimate the effect of pH ch Continue reading >>

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  1. Aaron1963

    Peter Attia on people who don't do well on a Ketogenic Diet

    I know there's a few people around here who don't do well on a ketogenic diet. I know for myself, who does extremely well with this way of eating, it's sometimes hard to understand why it doesn't work for everyone. And I think sometimes the people who it doesn't work well for get exasperated with all the talk of LCHF and ketogenic diets. Well, Peter Attia, who I have a lot of respect for, talks some in this podcast about how there are some people who just don't do well on a ketogenic diet. I don't know if it would be of any interest for those of you who have this problem or not:
    http://timferriss.libsyn.com/ep-65-s...dr-peter-attia
    He doesn't go into a lot of detail about it, but it's more that it's just interesting that there is a minority of people who do have this problem.

  2. furball64801

    Its amazing how all things do not work well for everyone. Ah the saying none of us is exactly alike. I did real well on a low carb diet when I was 25 only wanted to lose about 15 lbs then, was not diabetic had energy coming out my ears. Tried it 20 yrs later and did not change my numbers that much, yes better but not to normal. I hear from some weight falls right off them and numbers turn to normal, nice if you can get it maybe pancreas function should be measured who knows why or what causes this.

  3. Aaron1963

    Just to be clear, this wasn't in relation to diabetes, but people in general who want to go on a ketogenic diet but apparently have problems with eating all that fat.

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