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Renal Tubular Acidosis Types

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What is renal tubular acidosis (RTA)? RTA is a type of metabolic acidosis caused by the kidneys failure to properly acidify the urine. Find more videos at http://osms.it/more. Study better with Osmosis Prime. Retain more of what youre learning, gain a deeper understanding of key concepts, and feel more prepared for your courses and exams. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways and more when you follow us on social: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Thank you to our Patreon supporters: Sumant Nanduri Omar Berrios Alex Wright Sabrina Wong Suzanne Peek Arfan Azam Mingli Fng Osmosis's Vision: Empowering the worlds caregivers with the best learning experience possible.

Renal Tubular Acidosis And Uraemic Acidosis

Metabolic acidosis can occur in both acute and chronic renal disorders the anion gap may be elevated, due to uraemic acidosis the anion gap may be normal, due to renal tubular acidosis (RTA) Uraemic acidosis results from the loss of functional nephrons decreased glomerular filtration rate (GFR) (e.g. <20 mL/min) accumulation of acidic anions such as phosphate and sulfate occurs causes high anion gap metabolic acidosis (HAGMA) patients manifest as renal failure, often have prolonged survival and develop chronic complications such as bone demineralisation Renal tubular acidosis (RTA) involves defects isolated to the renal tubules only GFR may be normal or only minimally affected primary problem is defective renal acid-base regulation due to impaired ability to acidify the urine and excrete acid results in net acid retention and hyperchloremic normal anion gap metabolic acidosis (NAGMA) may be incomplete and only develop in the presence of an acid load occurs despite a normal or only mildly reduced glomerular filtration rate (GFR) RTA is often detected incidentally through an abnormal blood workup, but some patients present with clinical features such as poor growth, dehydration, or Continue reading >>

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Popular Questions

  1. ExposedLurker

    I know it's not a popular opinion around here but I think the keto calculator over prescribes protein. 1g per lean body mass was way too much and kept me out of nutritional ketosis as my glucose levels were over 100 will following all the protocols. Yes, I was counting my calories/macros, believe it or not other issues such as gluconeogenesis, stress and lack of sleep can stall weight loss.
    After implementing Dr. Rosedale's formula I have been dropping weight, more specifically fat, as muscle is important to me as I power lift.
    I see a lot of people turning Keto into the Atkins diet, as Atkins high a protein and keto is not. If you're seeing results using the keto calculator then good for you, I'm not here to change what's working for you. If you're not seeing results with calorie counting and are using the keto calculator than this post is for you. Please be sure you followed everything in Keto FAQ before deciding keto is not working for you.
    I suggest using the this formula below per Dr.Rosedale to calculate your daily protein intake.
    Your idea weight/2.2-10%=daily protein. Add an additional 10g of protein if you're doing weight training or anything that fatigues muscles.
    Never eat more than 25g of protein in a meal. This is the safe zone to remain in nutritional ketosis. Edit: Test your glucose levels the morning after (fasted) before debating about it as that's all that matters.
    Links: The Rosedale Health Plan http://drrosedale.com/resources/pdf/Ron-Rosedale-Health-Plan.pdf
    Protein-The-Good-The-Bad-and-The-Ugly http://www.drrosedale.com/resources/pdf/Ron-Rosedale-Protein-The-Good-The-Bad-and-The-Ugly.pdf
    Additional good information from other sources:
    Dr Mercola and Dr D'Agostino really talk about things that Keto FAQ doesn't cover.
    https://www.youtube.com/watch?v=UjPgK7gWJeM&index=3&list=LLGiWwW9PaDB3BcRXoHg_axA
    World Champion Bodybuilder eats 93g of protein per day with high fat diet: http://scottabelfitness.com/low-carb-diet-extremely-high-fat/
    Good recent study on protein synthesis: http://ajcn.nutrition.org/content/99/1/86.abstract
    "Design: Volunteers (n = 48) consumed a standardized, high-protein (0.54 g/kg body mass) breakfast. Three hours later, a bout of unilateral exercise (8 × 10 leg presses and leg extensions; 80% one-repetition maximum) was performed. Volunteers ingested 0, 10, 20, or 40 g whey protein isolate immediately (∼10 min) after exercise. Postabsorptive rates of myofibrillar MPS and whole-body rates of phenylalanine oxidation and urea production were measured over a 4-h postdrink period by continuous tracer infusion of labeled [13C6] phenylalanine and [15N2] urea.
    Results: Myofibrillar MPS (mean ± SD) increased (P < 0.05) above 0 g whey protein (0.041 ± 0.015%/h) by 49% and 56% with the ingestion of 20 and 40 g whey protein, respectively, whereas no additional stimulation was observed with 10 g whey protein (P > 0.05). Rates of phenylalanine oxidation and urea production increased with the ingestion of 40 g whey protein.
    Conclusions: A 20-g dose of whey protein is sufficient for the maximal stimulation of postabsorptive rates of myofibrillar MPS in rested and exercised muscle of ∼80-kg resistance-trained, young men. A dose of whey protein >20 g stimulates amino acid oxidation and ureagenesis. This trial was registered at http://www.isrctn.org/ as ISRCTN92528122."

  2. anbeav

    1g per lean body mass was way too much and kept me out of nutritional ketosis as my glucose levels were over 100 will following all the protocols.
    Please don't tell me you were correlating glucose levels with ketosis or not, doesn't work that way.
    The protein recommendations are based on standard adequate protein recommendations and do not affect ketosis.
    Keto is NOT a high protein diet
    Never eat more than 25g of protein in a meal. This is the safe zone to remain in nutritional ketosis. Test your glucose levels before debating about it as that's all that matters.
    Glucose level doesn't dictate whether you're in ketosis or not. If you want to spread the word about some new revolutionary method, check your science first. There's enough confusion around here without more thrown in

  3. c0horst

    Never eat more than 25g of protein in a meal.
    I suppose I can never eat a single chicken breast ever again or it will kick me out of ketosis! /s

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This is a review of the pathophysiology, diagnosis and treatment of Renal Tubular Acidosis intended for 3rd and 4th year medical students and others learning clinical medicine.

Renal Tubular Acidosis

Each time our internal organs do something, such as digesting food or healing damaged tissue, chemical reactions take place in the body's cells. These reactions cause acid to go into the bloodstream. Normally, the kidneys remove excess acid from blood, but certain diseases, genetic defects, or drugs can damage a kidney's ability to do this important job. This can allow too much acid to build up in the blood and cause problems. When this happens, it's called renal tubular acidosis (RTA). Without treatment, RTA can affect a child's growth and cause kidney stones , fatigue, muscle weakness, and other symptoms. Over time, untreated acidosis can lead to long-term problems like bone disease, kidney disease , and kidney failure. Fortunately, such complications are rare, since most cases of RTA can be effectively treated with medicines or by treating the condition that's causing the acid to build up. The kidneys are a pair of bean-shaped organs located toward the back of the abdominal cavity, just above the waist. The kidneys remove waste products and extra water from the food a person eats, returning chemicals the body needs (such as sodium, phosphorus, and potassium) back into the blood Continue reading >>

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Popular Questions

  1. nickdavis843

    So I've been in keto for about a week. I have not lost a pound. I stay steady at 190. I alternate between jogging and lifting weights taking off sundays. I don't understand why the scales not moving. Any ideas?
    I found this on reddit does it sound legit?
    "If you have been on keto for less than 6 weeks the exercising is going to prevent weight loss.
    Your body has been using carbs for energy for years. But now you have restricted these carbs. What is you body going to use to fuel your workouts? The main thing that a keto diet does is teach your body how to use stored fat for energy, not carbs. But this takes time. About 3-6 weeks before your body becomes keto adapted.
    In the meantime your body is going to get the energy to fuel your workouts from other sources. Mainly by slowly down some of your bodies regular life function. Mainly your metabolism"

  2. Mr_Knight

    Keto doesn't cause weight loss.
    And the quote from Reddit is unadulterated bull****.

  3. katznkt

    I didn't lose much if anything for the first two weeks while my body adjusted to the new diet. Then everything clicked and I haven't had a problem since. Maybe it is just an adjustment period. I'd give it a solid two weeks of perfect eating before you worry.

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For just $1/month, you can help keep these videos free! Subscribe to my Patreon at http://www.patreon.com/pwbmd Minor correction: At about 12:30, I referred to furosemide as a thiazide diuretic. It of course is not; it's a loop diuretic. Thiazide diuretics would include such drugs as hydrocholorothiazide. (Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

Renal Tubular Acidosis | Definition Of Renal Tubular Acidosis By Medical Dictionary

Renal tubular acidosis | definition of renal tubular acidosis by Medical dictionary Renal tubular acidosis (RTA) is a condition characterized by too much acid in the body due to a defect in kidney function. Chemical balance is critical to the body's functioning. Therefore, the body controls its chemicals very strictly. The acid-base balance must be between a pH of 7.35 and 7.45 or trouble will start. Every other chemical in the body is affected by the acid-base balance. The most important chemicals in this system are sodium, chloride, potassium, calcium, ammonium, carbon dioxide, oxygen, and phosphates. The lungs rapidly adjust acid-base balance by the speed of breathing, because carbon dioxide dissolved in water is an acidcarbonic acid. Faster breathing eliminates more carbon dioxide, decreases the carbonic acid in the blood and increases the pH. Holding your breath does the opposite. Blood acidity from carbon dioxide controls the rate of breathing, not oxygen. The kidneys also regulate acid-base balance somewhat more slowly than the lungs. They handle all the chemicals, often trading one for another that is more or less acidic. The trading takes place between the blood and the u Continue reading >>

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Popular Questions

  1. steviekm3

    too much protein on keto diet ?

    Is it possible to eat too much protein on a keto diet - enough to kick you out of ketosis and enough to prevent glycogen depletion ?

  2. Smithy_206

    good question.. i would be interested in finding out the answer myself..
    bump

  3. GBA

    Yep, it's more than 'possible'. 1g/lb-lbm is probably enough.

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