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Partially Compensated Metabolic Acidosis

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

Metabolic Acidosis - Endocrine And Metabolic Disorders - Msd Manual Professional Edition

By James L. Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincents Ascension Health, Birmingham Metabolic acidosis is primary reduction in bicarbonate (HCO3), typically with compensatory reduction in carbon dioxide partial pressure (Pco2); pH may be markedly low or slightly subnormal. Metabolic acidoses are categorized as high or normal anion gap based on the presence or absence of unmeasured anions in serum. Causes include accumulation of ketones and lactic acid, renal failure, and drug or toxin ingestion (high anion gap) and GI or renal HCO3 loss (normal anion gap). Symptoms and signs in severe cases include nausea and vomiting, lethargy, and hyperpnea. Diagnosis is clinical and with ABG and serum electrolyte measurement. The cause is treated; IV sodium bicarbonate may be indicated when pH is very low. Metabolic acidosis is acid accumulation due to Increased acid production or acid ingestion Acidemia (arterial pH < 7.35) results when acid load overwhelms respiratory compensation. Causes are classified by their effect on the anion gap (see Table: Causes of Metabolic Acidosis ). Lactic acidosis (due to exogenous toxins) Toluene (initially high gap; subseq Continue reading >>

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  1. Amanda_Burton

    So, the other day, I had a run-in with a group of people hell-bent on shaming me for using the word Ketogenic in a Facebook group post. As it was a parenting group claiming to support scientific, evidence-based topics only, it caught me completely by surprise when a comment I made created such a backlash.
    I wasn't even promoting the WOE but I was instead trying to advocate for a little understanding between family members who "research" online and come up with very differing information. Because the OP referenced the dietary restrictions (some of which were keto and some of which weren't) in regards to autism spectrum disorder, I did state that there is some support of the Ketogenic WOE for people with ASD and perhaps this could be the root of the disagreement. At this point I was ridiculed as a "newb" who clearly believed in pseudo-science, berated for posting a second clarifying post (emphasizing that I was not advocating a dietary change, but addressing the main concern of other family members "parenting" when not asked) and specifically named as someone to be banned from the group.

    Needless to say, I was a bit rattled thinking I had found a parenting group where I could find support and instead being belittled and accused of buying into pseudo-science. I immediately removed myself from that group (as I do not need that negativity) and felt the need to reconnect here on the forums. Has anyone else had to deal with this type of bullying online or IRL?

  2. Fiorella

    But, don't be discouraged. You did the right thing from removing yourself from the group. It is wise to gauge the situation and determine which conflicts are worth your time or not. Groups that allow discussion and reflection are good to coach ketogenic woe...otherwise, the other groups with stubborn bullies are not.

  3. Amanda_Burton

    I will have to do some digging, as it is a topic I have only recently been researching and have not saved links or anything. In the context of my post in the parenting group, I simply stated that I had seen support for it and that the OP's family member may have come across this information​ as well and that I had come to keto for a completely different issue. I will post links this week when I get a chance.

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Respiratory acidosis #sign and symptoms of Respiratory acidosis Respiratory acidosis ABGs Analyse https://youtu.be/L5MWy1iHacI Plz share n subscribe my chanel is a condition that occurs when the lungs cant remove enough of the Suctioning https://youtu.be/hMJGkxvXTW0 carbon dioxide (CO2) produced by the body. Excess CO2 causes the pH of blood and other bodily fluids to decrease, making them too acidic. Normally, the body is able to balance the ions that control acidity. This balance is measured on a pH scale from 0 to 14. Acidosis occurs when the pH of the blood falls below 7.35 (normal blood pH is between 7.35 and 7.45).Rinku Chaudhary NSG officer AMU ALIGARH https://www.facebook.com/rinkutch/ Respiratory acidosis is typically caused by an underlying disease or condition. This is also called respiratory failure or ventilatory failure. Suctioning https://youtu.be/hMJGkxvXTW0 Normally, the lungs take in oxygen and exhale CO2. Oxygen passes from the lungs into the blood. CO2 passes from the blood into the lungs. However, sometimes the lungs cant remove enough CO2. This may be due to a decrease in respiratory rate or decrease in air movement due to an underlying condition such as: asth

Respiratory Acidosis

Respiratory acidosis is an abnormal clinical process that causes the arterial Pco2 to increase to greater than 40 mm Hg. Increased CO2 concentration in the blood may be secondary to increased CO2 production or decreased ventilation. Larry R. Engelking, in Textbook of Veterinary Physiological Chemistry (Third Edition) , 2015 Respiratory acidosis can arise from a break in any one of these links. For example, it can be caused from depression of the respiratory center through drugs or metabolic disease, or from limitations in chest wall expansion due to neuromuscular disorders or trauma (Table 90-1). It can also arise from pulmonary disease, card iog en ic pu lmon a ryedema, a spira tion of a foreign body or vomitus, pneumothorax and pleural space disease, or through mechanical hypoventilation. Unless there is a superimposed or secondary metabolic acidosis, the plasma anion gap will usually be normal in respiratory acidosis. Kamel S. Kamel MD, FRCPC, Mitchell L. Halperin MD, FRCPC, in Fluid, Electrolyte and Acid-Base Physiology (Fifth Edition) , 2017 Respiratory acidosis is characterized by an increased arterial blood PCO2 and H+ ion concentration. The major cause of respiratory acido Continue reading >>

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  1. ExamFear

    Difference between Aldehyde and ketone both hav double bond with oxygen

    Difference between Aldehyde and ketone both hav double bond with oxygen
    Tags: Class 10 , Chemistry , Carbon and Its Compounds Asked by sam
    1 Answers

    Difference between an aldehyde and a ketone is the presence of a hydrogen atom attached to the carbon-oxygen double bond in the aldehyde. Ketones dont have that hydrogen. Aldehyde : R-(C=O)-H 7 Ketone: R-(C=O)-R



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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 rep

Metabolic Alkalosis - Endocrine And Metabolic Disorders - Merck Manuals Professional Edition

(Video) Overview of Buffering and the Henderson-Hasselbalch Equation By James L. Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincents Ascension Health, Birmingham Metabolic alkalosis is primary increase in bicarbonate (HCO3) with or without compensatory increase in carbon dioxide partial pressure (Pco2); pH may be high or nearly normal. Common causes include prolonged vomiting, hypovolemia, diuretic use, and hypokalemia. Renal impairment of HCO3 excretion must be present to sustain alkalosis. Symptoms and signs in severe cases include headache, lethargy, and tetany. Diagnosis is clinical and with arterial blood gas and serum electrolyte measurement. The underlying condition is treated; oral or IV acetazolamide or hydrochloric acid is sometimes indicated. Metabolic alkalosis is bicarbonate (HCO3) accumulation due to Intracellular shift of hydrogen ion (H+as occurs in hypokalemia ) Regardless of initial cause, persistence of metabolic alkalosis indicates that the kidneys have increased their HCO3 reabsorption, because HCO3 is normally freely filtered by the kidneys and hence excreted. Volume depletion and hypokalemia are the most common stimuli for increa 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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    Step 4: Identify the compensatory process (if one is present) In general, the primary process is followed by a compensatory process, as the body attempts to bring the pH back towards the normal range. If the patient has a primary respiratory acidosis (high PCO2 ) leading to acidemia: the compensatory process is a metabolic alkalosis (rise in the serum bicarbonate). If the patient has a primary respiratory alkalosis (low PCO2 ) leading to alkalemi ...

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