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Paradoxical Acidosis

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Don't forget to check out our brand new website - http://bit.ly/hmvdesc Vomiting usually is a symptom of other diseases and can lead to dehydration and many other problems. Watch how you can treat vomiting using natural ingredients like curry leaves or ginger! Check other ### KIDS HEALTH ### videos: A. SCARLET FEVER : http://goo.gl/W7zMKY B. FOOD POISONING : http://goo.gl/g0Csku C. CONSTIPATION : http://goo.gl/zdy8yz Subscribe Here : http://goo.gl/ZyxisL Also, check our food therapy channel: http://goo.gl/O4VAbH ----------------------------- Vomiting: Vomiting is a symptom of other diseases It can lead to dehydration Causes: Stomach is unable to empty out its content Stomach flu Infection in the bladder, lung or ear Food poisoning Head injury Appendicitis Eating or drinking excessively Mental stress Natural home remedy using curry leaves, lemon & honey: 1. Take 10-15 curry leaves 2. Crush them to make paste 3. Press this paste on a sieve 4. Extract juice 5. Add 1 tsp lemon juice 6. Add 1 tsp honey 7. Mix well 8. Give this mixture twice a day Natural home remedy using garlic & milk: 1.Crush 2-3 garlic cloves to paste 2. Add this paste to 1 glass milk 3. Boil for 5 min 4. Give this when hot This is very effective in controlling vomit caused by digestive problems If the child is under 3 years of age, use only 1/3rd of ingredients for this mixture Natural home remedy using mint leaves, ginger, lemon & honey: 1. Take 2 tsp mint leave paste 2. Add tsp ginger paste 3. Press the paste on a sieve 4. Extract juice 5. Add 1 tsp lemon juice 6. Add 1 tsp honey 7. Mix well 8. Give this in 2 equal doses through the day Tips: Wash the child's mouth after vomiting Avoid dairy products for 24 hr after vomiting Give sufficient water to prevent dehydration Give small amount of water frequently ----------------------------- SUBSCRIBE TO HOMEVEDA: http://www.youtube.com/subscription_c... JOIN US ON FACEBOOK: http://www.facebook.com/homeveda FOLLOW US ON TWITTER: http://twitter.com/homeveda These remedies are based on the principles of Ayurveda, the ancient Indian science of healing, and are completely natural, non-invasive, and can be prepared at home. Consult your doctor if the symptoms persist. Refer to the terms of use on our website http://www.homeveda.com

Vomiting - Wikivet English

Created by the veterinary profession for you - find out more about WikiVet Did you know you can edit or help WikiVet in other ways? Vomiting has potentially lethal effects in the monogastric animal. The effects are listed below. It is clinically important to differentiate vomiting from regurgitation , as clients can often confuse these clinical signs and the two have very different aetiologies. Fluid loss is evident as an increased PCV or haematocrit, an increased total protein concentration or a prerenal azotaemia . The main losses are of H+ and Cl-, and also K+. Electrolyte loss can potentially cause metabolic alkalosis, although this is only likely with disease which stops at the pylorus, e.g.: pyloric outflow obstruction. In cases where mild alkalosis occurs, homeostatic mechanisms produce a more alkaline urine to restore normal body pH. However, in severe metabolic alkalosis with marked dehydration, acidic urine may be produced. This is termed paradoxical aciduria. Because vomiting induces hypokalaemia, there is an overriding stimulus in the kidney for Na+ (and therefore water) retention. Na+ can only be resorbed in exchange for H+, H++ is therefore excreted in the urine, cau Continue reading >>

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Popular Questions

  1. MeepoTwin

    Strategically drinking alcohol to stay in ketosis?

    Hello everyone,
    I understand after drinking alcohol, it is metabolized as acetate. Since acetate cannot be stored, and is considered by the body to be a poison, it is metabolized with the highest priority. This means that all other macro nutrients in the blood will be stored, since the alcohol is being utilized for energy.
    With this logic in mind, if I eat carbohydrates while intoxicated, the body will not begin the process of using carbohydrates for energy because of the alcohol's acetate is currently being processed. This means the carbohydrates will directly be stored without initiating the glucose pathways.
    Does this mean I can stay in keto even after consuming carbs and sobering up since the glucose pathways never began? I do understand alcohol does have an excess amount of calories, and the calories of the carbs still count. But the question is will you stay in ketosis afterwards?
    I feel like it doesn't work this way, but at the same time, the logic seems to somehow work.
    Assuming the first few statements regarding metabolic processes are correct, does this mean you can use alcohol to stay in keto because you never utilize the glucose pathways?
    (I apologize for the lack of sources, I cannot find them at the moment)
    Thanks in advance

  2. toast.tm

    I see where you are coming from and I have been drunk and stayed in Ketosis but...
    The body would switch from using Ketones as fuel to the fuel from the alcohol - ethanol?? So if this was the case then when that runs out (you sober up) it will look for the nearest available fuel (the carbs you ate that haven’t yet been processed) so you would need to get into ketosis again.
    If you drink beer then your eating carbs with the alcohol.
    Sorry this is not a proper answer.
    When I am on Keto I drink slim line Tonic (diet) with Gin and have stayed in but didnt eat carbs.
    I love drinking but to be honest, drinking on keto sucks.

  3. Atavis

    Lol.

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Testing a "Khan Academy" presentation for USMLE style videos.

Pyloric Stenosis

Pyloric Stenosis is a medial emergency that requires urgent fluid resuscitation and resolution of biochemical abnormalities. Definitive surgical treatment can then be undertaken to restore enteral nutrition. projectile vomiting in neonate (not billous) visible peristalsis and olive sized mass in epigastrium 5. initially, alkaline urine -> later, acidic urine decreased secretion of pancreatic HCO3- increased HCO3- presented to distal tubule and eliminated producing an alkaline urine loss of Na+ in urine until kidney adjusts to increased HCO3- load activation of renin-AG-ALD system to off set this and restore Na+ and H2O activation of rennin-AG-ALD system with produces loss of K+ in urine with extreme K+ loss in urine -> it gets reabsorbed in distal tubule with loss of H+ worsening metabolic alkalosis and producing and acidic urine initially, alkaline urine -> later, paradoxical aciduria inability to absorb enteral fluid and vomiting activation of rennin-AG-ALD system + ADH Fluid resuscitation determined by weight and degree of dehydration assessed clinically (tissue turgor, pulse, fontanelle, CR centrally, peripheral perfusion, respiratory rate) IV boluses of normal saline or collo Continue reading >>

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Popular Questions

  1. kairos

    Sano's CGM post got my attention. Lately I've been experiencing elevation in BG and am starting an extended fast this morning. Tuesday or Wednesday I have a CGM (Abbott Freestyle Libre) coming in the mail. I will use the two week sensor and monitor.
    My concerns in general are with instrumentation. My day job requires the use of instrumentation and gauges, and in my 12 years of experience dealing with measuring hydraulics, I have seen numbers all over the map, and have only seen extremely tight numbers with extremely expensive instruments.
    Then there's the additional complications of other variables occurring all over the map. And these variables are often never the focus. It's only "OMG! My glucose is high!" or, "Yea! My BG is down this morning!" We're pretty emotional people, I often find, and really look forward to celebrating the wins. But how accurate is the instrument? How much do we know about what's going on in the bloodstream day in and out, hour to hour? What's really happening? Can we tell this from a single BG reading at 5:30 am? Or just after fasting?
    I have probably pricked my finger into the thousands, and have tons of data on spreadsheets to this regard. I've done many days on an hour to hour reading N of 1, to see what peaks and valleys happen, and on what fuels.
    Here's my concern. How can we really know that our meter is "accurate"? What is the gold standard? I've seen myself, for instance, that the TrueTest (and I guess, the True Metrix also) brands run considerably lower than my Bayer Contour Next EZ meter, at about 10-15 mg/dl lower. That's important in terms of percentage. If my Contour Next is 110, then the TrueTest is 100. Which is "correct"? I've also seen some N=1s on the internet of diabetics measuring multiple meters, of different brands, with numbers all over the spectrum, to the point that it's kinda dizzying.
    So if I start having high numbers with my Bayer, I could just bury my head in the sand, grab the TrueTest, and truck along enjoying "lower" numbers for days. (laughter). A few days ago, I wanted to test the matter, and bought a second Bayer Meter. Two identical meters were off 10 mg/dl from one another. What to do? Do I buy a third?
    It leaves me with the feeling of not much confidence in our meters. Or, perhaps to say it another way... at the end of the day, how do we really know what we know?
    Some would say it doesn't matter, that +/- of that range is insignificant. But it's around 10%.
    I suppose many would say that we should compare it to the "day of" while doing the blood draw at LabCorp. So, we'd say the lab with the centrifuge is the "standard".
    I'd love some feedback on this, because since we have no way of measuring insulin at home, with a fingerprick, the unfortunate surrogate is BG. Actually not a great surrogate at all, because one can have reasonable BG with high insulin. But nevertheless, it's what we have.
    So I guess I'm throwing out for discussion this whole topic of meter accuracy, and looking for some good ideas and feedback.

    Thanks!

  2. BillJay

    kairos:


    So I guess I'm throwing out for discussion this whole topic of meter accuracy, and looking for some good ideas and feedback.
    I'm also concerned about home meter accuracy and in the post below, I used my dual-use (Glucose and Ketones) Nova Max Plus to evaluate my response to liquid sucralose and the values were very inconsistent.
    I recently ordered another dual-use meter, Precision Xtra with testing supplies, and waiting for it to be delivered so I can repeat my experiment and hopefully get more consistent results.

    ZipFixx Experiment


    I finally made it to a point in time where my blood glucose shouldn't be changing for any reason other than the substance being tested. I'm using liquid Splenda Zero that contains Water, Sucralose, Malic Acid, Sodium Benzoate and Potassium Sorbate where the active ingredient should just be the Sucralose with no carbohydrate confounders like maltodextrin. [image] [image] I used an electronic scale to add 4 servings (1.0 mL) of the liquid sweetener to 275 mL of reverse osmosis filtered w…

  3. GloriaJ

    I didn't have time to do an exhaustive search of the https://www.fda.gov/
    1 site, but I did find a "510(k) SUBSTANTIAL EQUIVALENCE DETERMINATION
    DECISION SUMMARY" for the Nova Max Plus Blood Glucose and β-Ketone Monitoring System. http://www.accessdata.fda.gov/cdrh_docs/reviews/k091547.pdf
    13
    This compared the Nova Max to the Nova Max Blood Glucose Monitor and
    Precision Xtra Advanced Diabetes Management System. There is precision and linearity in the latter half of the document. I'd have to do a deeper dive to see what acceptable differences are allowed. For a medical device to be sold in the US (whether made here or not) there would have to be an FDA filing. I don't know the extent of the documentation.
    The other thing to consider is that some of the variability may come from manufacturing of the test strips.

    Happy hunting.

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

8.7 Use Of Bicarbonate In Metabolic Acidosis

8.7 Use of Bicarbonate in Metabolic Acidosis Metabolic acidosis causes adverse metabolic effects (see Section 5.4 ). In particular the adverse effects on the cardiovascular system may cause serious clinical problems. Bicarbonate is an anion and cannot be given alone. Its therapeutic use is as a solution of sodium bicarbonate. An 8.4% solution is a molar solution (ie it contains 1mmol of HCO3- per ml) and is the concentration clinically available in Australia. This solution is very hypertonic (osmolality is 2,000 mOsm/kg). The main goal of alkali therapy is to counteract the extracellular acidaemia with the aim of reversing or avoiding the adverse clinical effects of the acidosis (esp the adverse cardiovascular effects). Other reasons for use of bicarbonate in some cases of acidosis are: to promote alkaline diuresis (eg to hasten salicylate excretion) 8.7.2 Undesirable effects of bicarbonate administration In general, the severity of these effects are related to the amount of bicarbonate used. These undesirable effects include: 8.7.3 Important points about bicarbonate 1. Ventilation must be adequate to eliminate the CO2 produced from bicarbonate Bicarbonate decreases H+ by reacting Continue reading >>

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Popular Questions

  1. melindotty

    _<
    Grrrr...
    I kept telling myself "It's okay that my weight has basically been the same since October. It's probably water & I'm still losing inches."
    Well, I just took my measurements 5 weeks after the last time I took them and they're the same. One or two went up, one or two went down.
    I've been keto since the beginning of July. I was losing weight steadily, stalling a bit, the usual. Down a total of 37 pounds... until I decided to stop counting calories. I've barely lost any weight since then- about 3 months- and I apparently haven't been losing inches either.
    I'm so upset and frustrated.
    I still have plenty to lose. 5'0 27 yr old female. Started at 241 and down to 204. Still firmly obese. Really annoyed. I don't really eat nuts. I guess I'm going to cut out my coffee? I dunno, but I'm pretty upset. :-/
    ETA: I still wake up hungry every day. I still feel the need to eat 3 meals a day though snacking is little or none. Everything I eat is fatty. I don't track anything, but I stay under 20g carbs.

    I really want to cry.

  2. larry

    melindotty:


    Down a total of 37 pounds... until I decided to stop counting calories.

    Personally, I'm not an advocate of counting calories. But if that's what works for you, why don't you go back to that method?

  3. melindotty

    I know I might have to now, but I don't want to. I thought I was free from that.

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