diabetestalk.net

Normal Anion Gap Metabolic Acidosis

Share on facebook

Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Causes Of Non-anion Gap Metabolic Acidosis

Bicarbonate-rich fluid excreted into the intestines where it is lost (GI loss of HCO3). There is an additional mechanism by which NH4Cl causes a non-AG metabolic acidosis. It is similar to the mechanism by which TPN causes a non-AG metabolic acidosis. Either the NH4Cl or the amino acids in TPN are meatbolized to HCl which causes a transient non-AG metabolic acidosis. The decreased pH and decreased HCO3 stimulate renal tubular reabsorption and generation of HCO3 (secretion of H+). You only end up with a metabolic acidosis if the addition of acid overrides the ability of the renal tubules to secrete H+ and generate NH3+ for excretion in the urine, usually a short-lived process. In prolonged hypercapnia renal tubular cells compensate for a prolonged respiratory alkalosis by decreasing reclaimation and generation of HCO3 (which takes 12-24 hrs for full affect). If the respiratory alkalosis resolves rapidly, reclaimation and generation of HCO3 will return to normal over 1-2 days. During this period you can get a (resolving) non-AG metabolic acidosis. The two main causes you for non-anion gap metabolic acidosis are diarrhea and RTA . Most of the time you can distinguish between these tw Continue reading >>

Share on facebook

Popular Questions

  1. iwiggy58

    How quickly can you kick yourself OUT of ketosis?

    I am just starting week 3 . I have been OP totally. One thing that keeps me from cheating is the fear that I will kick myself out of ketosis. What amount of non program food would it take to throw you out of ketosis? And does a person start all over and have to go thru the headaches and trauma that happen that first week? I have heard several people go off program while on vacation and start back up again later. Is it like having to start all over again???

  2. mompattie

    It would take prob more than 40-50 carbs to kick you out of ketosis. Some can handle more carbs. But it's a slippery slope. Yes, you have to go through all the symptoms to get back in. And 3-5 days worth of food and time and money. It's like a weeks worth of money and time gone. Not worth it.

  3. IP43

    Quote:

    Originally Posted by mompattie
    It would take prob more than 40-50 carbs to kick you out of ketosis. Some can handle more carbs. But it's a slippery slope. Yes, you have to go through all the symptoms to get back in. And 3-5 days worth of food and time and money. It's like a weeks worth of money and time gone. Not worth it. I know a few times that I've had things I shouldn't, the next day or two I was starving, had cravings etc. so I think I kicked myself out of ketosis. They weren't big cheats but I think we're so close to the limit if you have a restricted item a day. I was "perusing" the Atkins site for some of their carb counts etc. and they start with 12-15g net carbs (carb-fibre) on their phase one and then add 5g netcarbs per week or something.

  4. -> Continue reading
read more
Share on facebook

Metabolic Acidosis (normal Anion Gap) - General Practice Notebook

Normal anion gap / hyperchloraemic acidosis: bicarbonate loss in the gut, e.g. pancreatic fistula, diarrhoea, utero-enterostomy distal - failure of acidification - proton pump failure treatment with excessive carbonic anhydrase inhibitors Home| About us| Facebook| Contact us| Authors| Help| FAQ This site is intended for the use of healthcare professionals only. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd receives funding from advertising but maintains editorial independence more... GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook. Continue reading >>

Share on facebook

Popular Questions

  1. olivo

    i went for my 35 wk check - am on weekly checks due to GD and polyhaydramnios - on thurs. there were ketones in my urine - what does that mean exactly?

  2. becksydee

    i had ketones in my urine when i went for my checkup (34wks) on monday - they wouldn't let me leave until it had been investigated so sounds like you got off lightly!
    it basically means that your body has stopped burning glucose as fuel and is burning fat & protein instead (ketosis) - in extreme cases it can mean you're suffering from ketoacidosis which is quite serious (& is the condition that the midwife/consultant would be worried about if they found ketones). it's diagnosed by testing blood gases & treated with IV fluids (due to dehydration) and insulin. if you had it, you would probably be feeling really rather ill (nausea, vomiting, stomach pain etc) and would also probably have smelly breath.

  3. notevenamousie

    EITHER that you've not been eating enough or you've not been drinking enough. Possibly both.

  4. -> Continue reading
read more
Share on facebook

High anion gap metabolic acidosis

Renal Fellow Network: Mnemonic For Non-anion Gap Metabolic Acidosis

Mnemonic for NON-Anion Gap Metabolic Acidosis As I've mentioned previously on this blog, the "MUDPALES" mnemonic for anion gap metabolic acidosis is one of the most successful medical mnemonic's of all time. A less successful (and admittedly less useful) mnemonic exists for non-anion gap metabolic acidoses (NAGMA), which I learned as a resident. It's "HARDUP", which stands for the following: H = hyperalimentation (e.g., starting TPN). R = renal tubular acidosis (Type I = distal; Type II = proximal; Type IV = hyporeninemic hypoaldosteronism. U = uretosigmoid fistula (because the colon will waste bicarbonate). P = pancreatic fistula (because of alkali loss--the pancreas secretes a bicarbonate-rich fluid). Practically speaking however, the two main causes you really have to remember for NAGMA are DIARRHEA or RENAL TUBULAR ACIDOSIS, which 90% of the time you can distinguish between based on the history alone. Another way to think about the differential diagnosis of NAGMA is to ask whether or not there is GI LOSS or RENAL LOSS of bicarbonate. If the history does not provide an obvious explanation, one can distinguish between GI versus renal bicarbonate losses by determining the urine a Continue reading >>

Share on facebook

Popular Questions

  1. Liang-Hai Sie

    Diabetic ketoacidosis is a life threatening condition, due to lack of insulin serious acidosis, high blood sugars causing loss of fluid because of peeing a lot causing life threatening dehydration, low blood pressure, acute kidney failure etc. etc., while not eating causing ketosis doesn’t have all above mentioned problems, just ketones due to low carbs.

  2. Michael L. Jirka

    Muslims probably have a degree of ketosis from fasting for a month of Ramadan and they seem to do OK. Generally, ketones rise when you force your body to burn fats as an alternate source of energy. It is just not as efficient as clean burning GLUCOSE … our main energy source. The byproducts of using fats for energy are ketones (acetone) and acids (beta-hydroxybutyric acid and acetoacetic acid). If you are in firm grasp of what you are doing this for (body sculpting or puke and purge party for the play about the Holocaust or marathon training) then a short lived trip to Ketosis Land might be all right. IF YOU ARE DOING THIS BECAUSE YOUR MIND CAN SEE ONLY A FAT PIG IN THE MIRROR … get some help … My favorite singer of the past century, Karen Carpenter, died from anorexia … and my life lost some of it’s luster at her passing.

  3. -> Continue reading
read more

No more pages to load

Related Articles

  • Metabolic Acidosis Anion Gap

    The anion gap (AG) is a calculated parameter derived from measured serum/plasma electrolyte concentrations. The clinical value of this calculated parameter is the main focus of this article. Both increased and reduced anion gap have clinical significance, but the deviation from normal that has most clinical significance is increased anion gap associated with metabolic acidosis. This reflects the main clinical utility of the anion gap, which is to ...

    ketosis Jan 4, 2018
  • Sepsis Metabolic Acidosis Anion Gap

    Summarized from Berkman M, Ufberg J, Nathanson L, Shapiro N. Anion gap as a screening tool for elevated lactate in patients with increased risk of developing sepsis in the room. J of Emerg Med 2009; 36: 391-94. As a global marker of tissue oxygenation serum lactate measurement has proven its usefulness in monitoring the critically ill. It has also proved useful as a screening tool for sepsis in the emergency room. However, lactate measurement is ...

    ketosis May 4, 2018
  • Icd 10 Code For Anion Gap Metabolic Acidosis

    This functionality is availabe after you log in to the system You may click the [Log In] link to sign in to the system. If you don't already have an account, it's very easy to setup one using the same link. A linearization is a subset of the foundation component, that is: Fit for a particular purpose: reporting mortality, morbidity, or other uses Jointly Exhaustive of ICD Universe (Foundation Component) Composed of entities that are Mutually Exc ...

    ketosis Mar 29, 2018
  • Normal Anion Gap Metabolic Acidosis Wiki

    Home | Critical Care Compendium | Normal Anion Gap Metabolic Acidosis Normal Anion Gap Metabolic Acidosis (NAGMA) HCO3 loss and replaced with Cl- -> anion gap normal if hyponatraemia is present the plasma [Cl-] may be normal despite the presence of a normal anion gap acidosis -> this could be considered a ‘relative hyperchloraemia’. Extras – RTA, ingestion of oral acidifying salts, recovery phase of DKA loss of bicarbonate with chloride re ...

    ketosis Apr 24, 2018
  • Normal Anion Gap Metabolic Acidosis

    INTRODUCTION On a typical Western diet, approximately 15,000 mmol of carbon dioxide (which can generate carbonic acid as it combines with water) and 50 to 100 mEq of nonvolatile acid (mostly sulfuric acid derived from the metabolism of sulfur-containing amino acids) are produced each day. Acid-base balance is maintained by pulmonary and renal excretion of carbon dioxide and nonvolatile acid, respectively. Renal excretion of acid involves the comb ...

    ketosis May 1, 2018
  • Normal Anion Gap Metabolic Acidosis Mnemonic

    Mnemonic for NON-Anion Gap Metabolic Acidosis As I've mentioned previously on this blog, the "MUDPALES" mnemonic for anion gap metabolic acidosis is one of the most successful medical mnemonic's of all time. A less successful (and admittedly less useful) mnemonic exists for non-anion gap metabolic acidoses (NAGMA), which I learned as a resident. It's "HARDUP", which stands for the following: H = hyperalimentation (e.g., starting TPN). R = renal ...

    ketosis Apr 27, 2018

More in ketosis