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Respiratory Acidosis And Alkalosis Made Easy

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Respiratory acidosis and alkalosis made easy for nurses. This NCLEX review is part of a acid base balance for nurses series. In this video I discuss respiratory acidosis causes, signs & symptoms, nursing interventions, and "How to Solve ABGs Problems using the TIC TAC TOE method" for patients in respiratory acidosis. Quiz: Respiratory Acidosis vs Respiratory Alkalosis: http://www.registerednursern.com/resp... Review Notes on Respiratory Acidosis: http://www.registerednursern.com/resp... Solving ABGs with TIC TAC TOE Method: https://www.youtube.com/watch?v=URCS4... Respiratory Alkalosis Video: https://youtu.be/Kw89JJZU3GA Metabolic Acidosis Video: https://www.youtube.com/watch?v=hitB3... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electro

Acid Base Balance Made Easy Notes -very Good - Usmle Forum

Acute respiratory alkalosis ----- HCO3- 18 [24-6] Chronic respiratory alkalosis ---HCO3- 7.4] ii. PCO2 = 22 --- so this is respiratory alkalosis iii. HCO3- = 14 --- so this is Chronic respiratory alkalosis ---but this is NOT the answer iv. Observe here clearly that PH =7.42 which is 0.02 above than 7.4 & near normal to 7.4 (7.35 7.45 is normal range according to goljan) (see clearly in other problems that in a partially compensated, PH is either < 7.35 or > 7.45 ---but never between 7.35 7.45, if present it is mixed disorder with acidosis + alkalosis) -----so this is not Chronic respiratory alkalosis because compensation (chronic) never brings the PH to normal & compensation is always outside the normal range (partially compensated Goljen High Yield General pg 82 ) v. So this is mixed respiratory alkalosis and metabolic acidosis because PH is above 7.4 and come to 7.42. If the CO2 and HCO3- change in opposite directions , it is a combined disturbance . It is either a combined respiratory and metabolic acidosis or a combined respiratory and metabolic alkalosis. Kaplan Physiology pg 801 a. Combined Respiratory And Metabolic Alkalosis.----------if the CO2 is depressed and HCO3- eleva Continue reading >>

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  1. connie7

    I used to use the ketostix every morning -- was in moderate zone most days. After a while I stopped checking. That was about 2 months ago. Last week, I took my daughter to college orientation session, and had some chicken nuggets at Chik-Fil-A (my only cheat in about 6 months), so when I got home I decided to check. The result was negative ketones, so I tried to go back to induction levels for a few days. It's been a week, and they still register negative every morning. Could the sticks have "gone bad"? The scale is not changing too much -- the normal fluctuations, but nothing dramatic. Should I go out and get some more ketostix, or just stick with it and not worry so much?

  2. hayes

    The sticks have a 6month shelf life after opening. The least little moisture inside the bottle can effect the reading also as can other conditions.
    If your very curious, get a new bottle.
    Remember that some people never make the sticks change color.

  3. omgtwins

    Because Ketosis stix don't really do much when it comes to encouragment - I don't use them. There are way too many variables - you could be in ketosis and it may not show, you are'nt in ketosis but loosing weight...IMNSHO I stick to the scale once a week and the measurements every month - the clothes in the back of the closet that are slowly moving up are also better indicators. You know what you're eating - good or bad, so save some money and get rid of those sticks!

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Metabolic acidosis and alkalosis made easy for nurses. This NCLEX review is part of an acid base balance for nurses series. In this video, I discuss metabolic acidosis causes, signs & symptoms, nursing interventions, and "How to Solve ABGs Problems using the TIC TAC TOE method" for patients in metabolic acidosis. Quiz Metabolic Acidosis vs Metabolic Alkalosis: http://www.registerednursern.com/meta... Lecture Notes on Metabolic Acidosis: http://www.registerednursern.com/meta... Metabolic Alkalosis Video: https://youtu.be/hmc0y6pJ1tA Solving ABGs with TIC TAC TOE: https://www.youtube.com/watch?v=URCS4... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos":

Acid Base Calculation Made Easy !

Posted by Ash from IP 74.138.144.66 on October 12, 2006 at 17:50:13: 6 steps to ABG analysis, go step by step in the very same order:- 1.Chk whether the pt is academic or alkalemic,by looking at the arterial pH (NL = 7.38 7.42) 2. Chk whether the ABG abnormality is due to a primary repiratory or metabolic disorder by chking the PCo2 levels( NL 38-42) and HCO3 levels (NL 22-26) 3. Now if there is respiratory component identified,chk whether this is acute or chronic respiratory acidosis or alkalosis. 4. Now if u identify a metabolic component ,chk whether it is high anion or normal anion gap M.Acidosis 5. Chk wether the respiratory system is adequetly compensating for this primary metabolic disorder. 6. Now u identify a high anion gap M.A,chk the corrected HCO3 level,y we do this coz to know wether there was a intial primary disorder ,before this new metabolic disorder developed. VERY IMPO FORMULAS :- U have to learn the formulas byheart) In Metabolic acidosis pH and HCO3 (DECREASES) So to compensate for every 1 mmol/l of drop in HCO3 , 1.2mmhg of PCO2 shld decrease So to compensate for every 1 mmol/l of increase HCO3, 0.07 mmhg of pco2 will increase. In Resp .Acidosis (PH - DECREAS Continue reading >>

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  1. MathWiz

    I wasn’t sure which section I should post this in, my strategy is what I call the 4–2–1 plan, I fast 2 day non consecutive days a week, eat a low carb but not calorie restricted diet 4 days a week to keep the fat burning benefits of ketosis going and then I give myself 1 day a week to indulge and eat whatever I want, usually a Saturday pasta dinner and wonderful dessert. I also walk 4 to 6 miles a day during the week and 10 to 12 miles on Saturday.
    Low Carb plans such as Atkins can be very effective for some people including me, many people who start a low carb diet experience get what’s called the “ketosis flu” or the “induction flu” in the first few days while the body is adapting to burning ketones instead of glucose.
    The basic symptoms are:
    – Headaches
    – Nausea
    – Upset stomach
    – Lack of mental clarity (brain fog)
    – Sleepiness
    – Fatigue
    It’s called the “ketosis flu” for a reason: you feel sick. I’ve gone through it and it wasn’t a pleasant experience. Fortunately it only lasted 2 days but then suddenly I woke up feeling much better, less hungry and my energy level was really high and consistent throughout the day!
    The first time I thought to myself: “What the heck am I doing? I feel like I’m going to die!” but I persevered and when it was over I didn’t regret a thing because what I had gained mentally and physically was 100% worth it.
    For those of you that are going through the ketosis flu, don’t give up! I know you feel like it’s never going to get better but stick with it and you´ll be so happy you did! I’m telling you, waking up refreshed for the first time in years, not getting the afternoon “blah” feeling and stuffing my face with carbs to try to boost my energy is the best side effect of the low carb diet I’ve experienced. Okay, losing weight while eating good food, feeling full and satisfied is great too.
    First you have to understand why your body is reacting this way. Your body’s been burning glucose for energy so it’s basically full of enzymes that are waiting to deal with the carbs you eat, but now the body needs to make new enzymes that burn fat for fuel instead of carbs, and the transition period causes the flu-like symptoms.
    There are some things you can do to lessen the symptoms of the ketosis flu and to make it go away sooner (to force the body to transition sooner) Ok, let’s get to the good part – what to do:
    First of all – you’re probably dehydrated. Drink PLENTY of water while you’re on a low carb diet, and then drink some more.
    Watch your electrolytes. When the body is getting rid of excess insulin from your former carb-crazy diet you´ll lose lots of fluids that have been retained in your body. This causes the rapid weight loss most people see in their first few days of ketosis, it’s mostly water, sorry. When you lose all the retained water you also lose electrolytes like sodium, magnesium and potassium. When you’re lacking them you´ll feel like crap so when you’re feeling really ill on the ketosis flu try things like chicken/beef broth and look for foods rich in these minerals. Take a multi-vitamin and a multi-mineral.
    Ok, here is where people throw the red flag – Eat more fat – Yup, I said MORE fat. Have some butter, just not on a roll, eat some bacon and eggs for breakfast, just skip the potatoes and toast. This will force your body to hurry up the transition. You´ll think this is crazy and think you´ll never get lose weight eating this way, but you will.
    Don’t eat too much protein – The body can transform protein into glucose so if you eat too much of it in the first days it will slow down the transition. Go for fatty meat and cheese if you can, add fat to protein shakes etc.
    Drink water, replenish electrolytes (sodium, magnesium, potassium) with food and supplements, drink broth, eat fat and not too much protein.
    I hope this helps, and have a great day
    Charles

  2. rockyromero

    @mathwiz
    ” Take a multi-vitamin and a multi-mineral.”
    I have been forgetting to take a multi-vitamin on fast days. Thanks for the reminder.
    “Eat more fat – Yup, I said MORE fat. ”
    I will have avocado more often.

  3. AussieJess

    Thanks for that info, very interesting

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Summary of ACOG Practice Bulletin 180, July 2017 Delaware Resident Lecture Series with James Manley, MD The Delaware Resident Lecture series is a variety of short lectures by James Manley MD designed for the OBGYN residents at Christiana Care Hospital in Newark Delaware. Future lectures will be condensed summaries of ACOG publications (practice bulletins, committee opinions, practice advisories etc) that hopefully will be of benefit to the time-pressed resident who is primarily a visual learner. Previous lectures have included topics including GYN ultrasound and interviews with visiting professors. Content should not be considered standard of care, but should serve as educational guidelines.

My Life As A Resident

Hello Mr Ryan, Mr Trump, and whomever else this may concern. (And, if you are an American of any stripe, then as it turnsout it also concerns you.) I am a family physician. I interact with your constituentsall day, every day. I hear about their problems, their struggles, and often thelimitations they face regarding healthcare. I try to help them when I can. Thatsmy job in a nutshell. So let me tell you about one of your constituents who alsohappened to become my patient. Lets call him Bob. Bob is a middle aged man who worked full time at an entrylevel manual labor type job. The kind of job you spend 40 hrs/wk working butstill hover around the poverty line. The kind of job with no benefits. He didntgo to the doctor and had no health insurance but as far as he knew he also didnthave any health problems. Until one day he started feeling unwell. Thispersisted for a few days and he refused to let his wife take him to the doctor.He was worried about the cost and figured hed get better in a few days anyway.Only he didnt. He got worse and his wife called an ambulance. Actually, lets skip ahead to the final diagnosis. Bob hastype 2 diabetes. Newly diagnosed. Easy. Boring. Right? Except Bob Continue reading >>

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  1. LaTisha

    I've been browsing the site and I've read some posts stating that ketones will not effect my breastmilk. Is this true?? (I just need to make sure ) Is it safe to be in ketosis and still breastfeed?? I really really hope so!! My baby is 7 months and although we've cut down nursing since she's been eating solids, I am not ready to completely stop nursing. I was on atkins prior to my pregnancy, I completely gave it up and ended up gaining 66 lbs! (and I thought the 50 that I gained with my 1st 2 pregnancies was bad *lol*) Anyway, I've lost about 46 of those pounds and I am so ready to lose the rest! I miss the way I felt while on atkins but I didn't think I could do it since I was breastfeeding and I had read somewhere that its not known whether being in ketosis is harmful. I never got far enough into the plan to find out what my CCLL is so I do need to start from scratch. Not to mention I'm completely addicted to carbs! Anyway, does anyone have any articles I can read or some really helpful info? Thanks!

  2. Helen H

    Yep, really true. When I was breastfeeding and low carbing, I used to test my milk regularly, with no signs of ketones. I've also asked some of the most qualified breastfeeding experts in the country, and they all assured me that ketones can't pass into breastmilk.
    When you think about it, it doesn't make sense that people who follow a naturally low carb diet couldn't breastfeed without causing harm to their babies. Nature is extremely protective of babies and breastmilk and has designed the breasts to act as a filter for anything harmful.
    Also, bear in mind that breast milk is a high fat food (54% of cals from fat) and that exclusively breastfed babies are in ketosis until solids are introduced. Considering that breastfed babies have higher average IQs than bottle fed ones, it obviously isn't doing them any harm.
    The one study that seemed to indicate that babies didn't like the taste of breastmilk after vigorous exercise, and which has been extrapolated to include ketosis, was a very badly conducted one. They took a group of exclusively breastfed babies, had their mothers do exercise, and then express milk into a bottle so they could see how much the babies drank. Naturally half of them turned up their noses, they knew the good stuff didn't come in a bottle.
    In practise, no amount of vigorous exercise or sweat seems to put off a hungry baby.
    According to my nursing toddlers, my breastmilk, even when I'm in ketosis, tastes like "warm icecream".

  3. .muse.

    Ahh, Helen, it's a shame you don't have a journal, because I've got so many questions I'd like to bombard you with, since you seem to be a plethora of knowledge regarding ketosis & breastfeeding, and I am, as you can see, so close to my duedate and am going to be going back to Atkins, because I don't like how high-carb diets make me feel.
    Anyway, if you ever wanted to pop into my journal and give me some good advice or links for where you've gotten some of your information, or anything of the sort, I would greatly appreciate it.
    Thanks in advance
    -alden

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