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Mixed Respiratory And Metabolic Acidosis Causes

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Chapter 61. Acidbase Disorders

Matzke GR. Matzke G.R. Matzke, Gary R.Chapter 61. AcidBase Disorders. In: DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey L. DiPiro J.T., Talbert R.L., Yee G.C., Matzke G.R., Wells B.G., Posey L Eds. Joseph T. DiPiro, et al.eds. Pharmacotherapy: A Pathophysiologic Approach, 8e New York, NY: McGraw-Hill; 2011. Accessed April 28, 2018. Matzke GR. Matzke G.R. Matzke, Gary R.. "Chapter 61. AcidBase Disorders." Pharmacotherapy: A Pathophysiologic Approach, 8e DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey L. DiPiro J.T., Talbert R.L., Yee G.C., Matzke G.R., Wells B.G., Posey L Eds. Joseph T. DiPiro, et al. New York, NY: McGraw-Hill, 2011, The kidney plays a central role in the regulation of acidbase homeostasis through the excretion or reabsorption of filtered bicarbonate (HCO3), the excretion of metabolic fixed acids, and generation of new HCO3. Metabolic acidosis and metabolic alkalosis are generated by a primary change in the serum bicarbonate concentration. In metabolic acidosis, bicarbonate is lost or a nonvolatile acid is gained, whereas metabolic alkalosis is characterized by a gain in bicarbonate or a loss of nonvolatile acid. Arterial blood gases, along wi Continue reading >>

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  1. Courtney Schumacher

    Ketoacidosis

    Comas

    Medical Treatments

    Medical Conditions and Diseases


    Neuroscience

    Medicine and Healthcare



    Why does Ketoacidosis cause coma? How is it treated?




    1 Answer







    I’m assuming that you do know that ketoacidosis does not have to mean that you have high blood sugar. It means that you have a high level of ketones in your blood, which are usually by-products of your body trying to break down fatty acids for fuel it’s not getting from your food intake.
    It is usually treated with fluids, electrolytes, and insulin. It is much more common in those with type 1 diabetes then type 2, but it can still occur.

    You can look up more specific information on diabetes at the Mayo Clinic site.

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Mixed Acid-base Disorders, Hydroelectrolyte Imbalance And Lactate Production In Hypercapnic Respiratory Failure: The Role Of Noninvasive Ventilation

Mixed Acid-Base Disorders, Hydroelectrolyte Imbalance and Lactate Production in Hypercapnic Respiratory Failure: The Role of Noninvasive Ventilation 1 Fondazione Eleonora Lorillard Spencer Cenci, Sapienza University of Rome, Rome, Italy, 2 Laboratory of Biostatistics, Department of Biomedical Science, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy, University of Pittsburgh, United States of America Conceived and designed the experiments: CT FDS VC AR. Performed the experiments: FDS VC AP GP. Analyzed the data: MDN. Contributed reagents/materials/analysis tools: CT FDS VC GP AP AR. Wrote the paper: CT FDS VC MDN GP AP AR. Received 2011 Oct 9; Accepted 2012 Mar 12. 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 properly credited. This article has been cited by other articles in PMC. Hypercapnic Chronic Obstructive Pulmonary Disease (COPD) exacerbation in patients with comorbidities and multidrug therapy is complicated by mixed acid-base, hydro-electrolyte and lactate disorders. Aim of this study Continue reading >>

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  1. airforcewife72

    Check out /r/xxketo! I wasn't on Keto while nursing because I already had low supply but I am now and have lost 25lbs so far. /r/ketobabies doesn't have a whole lot of activity as of yet.

  2. [deleted]

    I've been on a strict paleo diet (I am only lenient on cheese and some fruits) since 1 week PP and if anything I have an oversupply! I've also lost 20 pounds in the 6 weeks I've been doing it

  3. Mashiara

    Would love some insight on this. Also lost a lot of weight doing keto prior to pregnancy and /r/ketobabies doesn't really have enough activity.

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Metabolic Acidosis Treatment & Management: Approach Considerations, Type 1 Renal Tubular Acidosis, Type 2 Renal Tubular Acidosis

Metabolic AcidosisTreatment & Management Author: Christie P Thomas, MBBS, FRCP, FASN, FAHA; Chief Editor: Vecihi Batuman, MD, FASN more... Treatment of acute metabolic acidosis by alkali therapy is usually indicated to raise and maintain the plasma pH to greater than 7.20. In the following two circumstances this is particularly important. When the serum pH is below 7.20, a continued fall in the serum HCO3- level may result in a significant drop in pH. This is especially true when the PCO2 is close to the lower limit of compensation, which in an otherwise healthy young individual is approximately 15 mm Hg. With increasing age and other complicating illnesses, the limit of compensation is likely to be less. A further small drop in HCO3- at this point thus is not matched by a corresponding fall in PaCO2, and rapid decompensation can occur. For example, in a patient with metabolic acidosis with a serum HCO3- level of 9 mEq/L and a maximally compensated PCO2 of 20 mm Hg, a drop in the serum HCO3- level to 7 mEq/L results in a change in pH from 7.28 to 7.16. A second situation in which HCO3- correction should be considered is in well-compensated metabolic acidosis with impending respira Continue reading >>

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  1. Deathofafatgirl

    So I've been doing the keto diet for a year with success but I have run my course with it and would like to do a "normal" diet/healthy change by eating better but adding carbs back in. Has anyone gone from doing a high fat/protein diet (LOW CARB) to a normal diet with just watching calorie intake and nothing else. I would like to know what weight gain if any I should expect or actually what overall should I expect. Thanks

  2. kevokie

    Well, first I'm no expert.
    I took myself off the keto diet for about a month and maintained the weight within a couple of pounds the whole time. I would suggest adding some carbs slowly back into your diet to get used to them again. You should expect to gain some weight back, but that is because your glycogen stores will be filling again which tend to hold more water. If you are watching your calories and what exactly you eat, you should be fine. Just take it slow.

  3. witchy_wife

    I would start by adding slow release carbs from vegetables and oats. And just gradually increase bit by bit. As long as you are eating at a calorie defecit you shouldn't gain fat, but your glycogen stores (I think they are called) will increase (these decreasing is why you get such a big loss at the start). So I would say it might take a few weeks but eventually your body will get the hang of what you are doing.
    I flip between low carb and regular counting calories and it is NOT TRUE when people say you will gain everything back if you go back to eating carbs. If you go back to eating the junk that put you the weight on then you will, but eat healthy on a calorie defecit and after a little while you will get back to losing weight.

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