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Partially Compensated Metabolic Acidosis

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There are two types of compensation to look for in an ABG. If compensation occurs, it is full or partial. If there is no compensation, the ABG is called uncompensated. If there are both respiratory and metabolic primary problems, the ABG is known as mixed or combined. Uncompensated Here the pH is abnormal; it will be either an acidosis or an alkalosis. The pH will always point to the primary problems (acidosis/alkalosis). The nurse then needs to look at the pCO2 or HCO3. In an uncompensated problem, there will be a respiratory acidosis or alkalosis or a metabolic acidosis or alkalosis, but the value that would correct for this, the opposite organ value, will not change as there is no compensation for the problem. ---------- Biology tutoring on Chegg Tutors Learn about Biology terms like Uncompensated Partially Compensated on Chegg Tutors. Work with live, online Biology tutors like Niyati B. who can help you at any moment, whether at 2pm or 2am. Liked the video tutorial? Schedule lessons on-demand or schedule weekly tutoring in advance with tutors like Niyati B. Visit https://www.chegg.com/tutors/Biology-... ---------- About Niyati B., Biology tutor on Chegg Tutors: Kasturba Medical College, Manipal, India, Class of 2013 Medicine major Subjects tutored: Health and Medicine, PSAT (reading), PSAT (math), SAT (reading), Biology, Marathi, Medical Assistant, TOEFL, Basic Math, Hindi, English as a Second Language, SAT (math), and Medicine TEACHING EXPERIENCE I have taught concepts of basic math like solving linear equations to my young cousins in California ( grade 6 ) as well as basic human biology like circulatory system. I used to teach English to the children of the house hold helpers back in India and i find that this is what has helped me develop patience and not just that but also helped me brush up on my own knowledge of some things that I never thought I'd use after middle school. Einstein said if you can't explain it simply then you haven't understood it well enough and I completely agree. My goal: explain it simply, but also in a way that is hard to forget. EXTRACURRICULAR INTERESTS Well in a nutshell I'm a knowledge hungry newbie doctor ( graduated from a medical school in India ) , an avid reader , and I'm also a huge trivia nerd. I have a flair for all things literary ( debate , crosswords , word play you name it ) I absolutely love to read ( mostly fiction , some of my favorite authors like Khaled Hosseini are doctors by profession ) and I have written about 30 poems over the past 10 years. I enjoy listening to podcasts, my favorite one is called Good Job Brain which is a quiz and trivia podcast and I also have a particular fondness for learning about Greek and Roman mythology, and love spoken word poetry. I love to listen to music and sing ( albeit not too well ) and I collect fridge magnets from the places I've been. I have spent part of my childhood in the US, and then the rest in India and my life has been transcontinental for the most part which has given me the benefit of some amazing experiences. I also have an artsy side - sketching and painting are some ways I like to unwind, and listening to TED talks is always an option. Want to book a private lesson with Niyati B.? Message Niyati B. at https://www.chegg.com/tutors/online-t... ---------- Like what you see? Subscribe to Chegg's Youtube Channel: http://bit.ly/1PwMn3k ---------- Visit Chegg.com for purchasing or renting textbooks, getting homework help, finding an online tutor, applying for scholarships and internships, discovering colleges, and more! https://chegg.com ---------- Want more from Chegg? Follow Chegg on social media: http://instagram.com/chegg http://facebook.com/chegg http://twitter.com/chegg

Uncompensated, Partially Compensated, Or Combined Abg Problems

Arterial Blood Gas (ABG) analysis requires in-depth expertise. If the results are not understood right, or are wrongly interpreted, it can result in wrong diagnosis and end up in an inappropriate management of the patient. ABG analysis is carried out when the patient is dealing with the following conditions: • Breathing problems • Lung diseases (asthma, cystic fibrosis, COPD) • Heart failure • Kidney failure ABG reports help in answering the following questions: 1. Is there acidosis or alkalosis? 2. If acidosis is present, whether it is in an uncompensated state, partially compensated state, or in fully compensated state? 3. Whether acidosis is respiratory or metabolic? ABG reports provide the following descriptions: PaCO2 (partial pressure of dissolved CO2 in the blood) and PaO2 (partial pressure of dissolved O2 in the blood) describe the efficiency of exchange of gas in the alveolar level into the blood. Any change in these levels causes changes in the pH. HCO3 (bicarbonate in the blood) maintains the pH of the blood within normal range by compensatory mechanisms, which is either by retaining or increasing HCO3 excretion by the kidney. When PaCO2 increases, HCO3 decreases Continue reading >>

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  1. MariaMia816

    Can anyone tell me what an average weight loss per week or month is for 20 carbs a day? Im loosing soooooo slow.

  2. GSD_Mama

    I guess it will be different for everyone. My first two weeks I've lost about 10, of which water was probably 5-7lb. I'm going on my third month now and losing slow, sometimes I gain sometimes I lose, no rhyme or reason.

  3. stevieedge2015

    10lbs in a month. I'm trying to keep my calories to under 1500. I smoke like a chimney though so...aiming to get to 130 so I can quit and not worry about gaining 10lbs

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10 arterial blood gas problems worked using the tic-tac-toe method.

Abg’s—it’s All In The Family

By Cyndi Cramer, BA, RN, OCN, PCRN RealNurseEd.com 3.0 Contact Hour Self Learning Module Objectives: Identify the components of the ABG and their normal ranges Interpret ABG values and determine the acid base abnormality given Identify the major causes of acid base abnormalities Describe symptoms associated with acid base abnormalities Describe interventions to correct acid base abnormalities Identify the acceptable O2 level per ABG and Pulse Oximetry Identify four causes of low PaO2 The Respiratory System (Acid); CO2 is a volatile acid If you increase your respiratory rate (hyperventilation) you "blow off" CO2 (acid) therefore decreasing your CO2 acid—giving you ALKLAOSIS If you decrease your respiratory rate (hypoventilation) you retain CO2 (acid) therefore increasing your CO2 (acid)—giving you ACIDOSIS The Renal System (Base); the kidneys rid the body of the nonvolatile acids H+ (hydrogen ions) and maintain a constant bicarb (HCO3). Bicarbonate is the body’s base You have Acidosis when you have excess H+ and decreased HCO3- causing a decrease in pH. The Kidneys try to adjust for this by excreting H+ and retaining HCO3- base. The Respiratory System will try to compensate by Continue reading >>

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  1. TooCute

    > in ketosis every day - stalled for 4 weeks

    Okay, i've been reading the posts in this section. I'm very discouraged by my stall because I thought if I'm in ketosis I would be losing weight. After reading the posts, it appears you can be in a stall while in ketosis. This is very confusing to me.
    So here are some of the things I eat, I guess that may be causing this. Will someone please help me figure out what I should cut out?
    Splenda - 2 packs maybe a day
    diet drinks with splenda (maybe one a day)
    shakes - 2 a week
    bars - 2 a week
    coffee - 2-3 cups a day
    cheese - 3-4 ozs a day
    whipping cream - 2 oz a day
    I eat my veggies and I drink lots of water.
    Maybe this diet is not for me. I lost 9 lbs. by the 3rd week and have since gained and lost the same 2 lbs over and over. I feel like I'm really strick with my carbs and am always in ketosis. About 3 years ago I went on Atkins and this same thing happened. After losing 12 lbs I never lost another lb for 6 months. I gave up. So does it sound like maybe I should try another diet? Thanks, TC

  2. Angeline

    What kind of coffee are you drinking ?
    Caffeine seems to stall weight loss for some people. Maybe you ought to cut that out for a week and see.

  3. agonycat

    TC, first off take a deep breath. :)
    We all go through stalls. It is quite normal for our bodies to take breaks from losing weight. Have you kept track of your measurments?
    There are many times that our scales won't move but we lose inches as our bodies move things around on us. I stalled for 8 months. No loss on the scale. No loss of inches. I did stay with it because this way of eating was actually making me feel better. I haven't had a cold since I started. My migraines are gone. My allergies don't bother me as much.
    How long did it take you to gain the weight? I gained 60 pounds over a 10 year period. I have lost 50 of those pounds in the past 12 months. If it takes me another year to get the last 10 pounds off then I am 8 years ahead of the game. Don't expect to lose the weight fast because you didn't put it on that way I am sure. This isn't a quick weight loss scheme. It is a way of life focused on how to eat correctly to keep and maintain a perfect goal weight for life.
    If you give up where does that put you? On a path to gain weight again? Regardless of what diet you pick or chose, if you don't stick with it and give it a chance to work then you will always have a wieght management problem. Don't think of this as a diet. Think of this as the way you should be eating for the rest of your life.

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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.

Respiratory Alkalosis

Abstract: Steady state blood CO2 levels remain relatively constant in compensated respiratory acidosis and alkalosis (i.e., CO2 in = CO2 out). Uncompensated respiratory alkalosis is associated with an increased blood pH, and a modestly decreased HCO3 – concentration. Renal compensation for respiratory alkalosis involves a decrease in HCO3 – reabsorption. The blood pH may be within the normal range in some mixed acid-base disorders. A mixed acid-base disturbance is indicated when the Pco2 and blood HCO3 – concentration are moving in opposite directions. Mixed acid-base distrubances can be additive, or subtractive. The bicarbonate buffer equation is shifted to the left in metabolic acidosis and respiratory alkalosis. Respiratory alkalosis can be due to either direct or reflex hypoxemic stimulation of the respiratory center, to pulmonary disease, or to excessive mechanical ventilation. Respiratory Alkalosis Respiratory alkalosis results from excessive ventilation (hyperventilation). In respiratory alkalosis, Pco2 falls, leading to an increase in pH (alkalosis). If the alkalosis persists for more than 12 hours, the alkalosis may be partially compensated by decreased renal H+ excr Continue reading >>

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  1. Farhan Malhi

    Ketosis is a metabolic condition in which enters the body when carbohydrate intake is very low (depending on the source talking between 15 and 50 grams per day) or when you are fasting, induces beta-oxidation fat for energy, producing ketone bodies are acetone, acetoacetate and beta-hydroxybutyrate mainly used as energy by the brain and other organs of the human body.

  2. Rebecca Paul

    Eggs
    Eggs are a staple for low carbers, ketogenic dieters and diabetics. Not only are they nutritious they are also low in carbohydrates.
    Eggs do contain protein which requires insulin, so eating the whole egg or even the egg yolk (rather than white white which has more protein) is a good option if you’re trying to optimise blood glucose rather than build muscle.
    dairy
    While cheese and cream are often favoured by people trying to limit carbohydrates, many people say that they have more success with their weight loss if they limit dairy.
    But should we avoid all dairy? Is some dairy better than others?
    Some people believe that red meat and dairy are uniquely insulinogenic, however my reading of the food insulin index data is that there is nothing special about these foods that isn’t explained by their carbohydrate, protein and fibre content.
    milk and cream
    Milk requires a lot more insulin than the high fat cheeses due to its higher carbohydrate content.
    Cream is a stand out due to its high fat content and is a much better option than milk in your coffee.
    If you are going to drink milk, keep it to a minimum and choose full fat milk, not skim.
    yogurt
    Full fat plain yogurt has the lowest percentage of insulinogenic calories while the sweetened and low fat options are extremely insulinogenic and should be avoided.
    fruits
    It’s interesting to note that there are only a handful of fruits with a low percentage of insulinogenic calories (i.e. olives and avocados).

  3. Purely Fresh

    Keto diet is well known for being a low carb diet, where the body produces ketones in the liver to be used as energy.Ketogenic Diet Food List
    Arugula (Rocket)
    Artichokes
    Asparagus
    Bell Peppers
    Bok Choy
    Broccoli
    Brussels Sprouts
    Butterhead Lettuce etc.
    @www.purelyfresh.com.sg

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