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Respiratory Acidosis Labs

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Acid Base Evaluation

Use the measured total CO2 from venous blood as HCO3 anion gap is an artifact because some anions are not measured gap is mainly due to unmeasured proteins, phosphates and sulfates Normal anion gap is 8-12 meq/L (Varies from Lab to Lab) useful in identifying mixed acidbase disorders in single acidbase disorder the difference between anion gap and the change in total CO2 should be negligible in other words change in total CO2 (Normal total CO2-observed total CO2) should be equal to anion gap. Excess bicarbonate gap suggests metabolic alkalosis Decrease in the gap suggests metabolic acidosis Respiratory compensation for Metabolic acid basedisturbance You can use the following crude formula 0.1 change in pH 10 mm change of PaCO2. If all else is well the PaCO2 should be the same as decimal values of pH i.e. for a pH of 7.28, the CO2 levels would be 28 mm Hg. Acidosis increases respiratory drive, alveolar ventilation and gets rid of Carbonic acid. Respiratory system can never completely compensate for a metabolic defect. Respiratory compensation attempts to maintain pH in a reasonable range. It is unusual to see CO2 retention (I don't agree with Books and others) Compensation is never Continue reading >>

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  1. warriorscholar

    Hey all,
    I need to be to work in 6 hours and I can't seem to fall asleep. Anyone else get insomnia real bad when ketosis kicks in hard?
    Cheers,

  2. DeltaSierra

    That's funny because I normally have terrible insomnia when I'm *not* in ketosis - I sleep much better when I am. I guess it affects everybody so differently - like some people go into "induction sickness" but that never bothered me. I hope you are able to deal with it - incidently have you ever tried melatonin? I swear by it for those nights when, regardless what my diet is, I simply can't sleep.

  3. warriorscholar

    I used to take melatonin back in the day. I never noticed an effect. I guess it couldn't hurt to give it a shot. I suppose I've always had sleeping trouble. I should look into this.
    Cheers,

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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 Acidosisworkup

In patients without an obvious source of hypoventilation and respiratory acidosis, a drug screen should be performed. The effects of sedating drugs such as narcotics and benzodiazepines in depressing the central ventilatory drive and causing respiratory acidosis should be considered. These sedative drugs should be avoided, if possible, in patients with respiratory acidosis. Radiography, computed tomography (CT) scanning, and fluoroscopy of the chest may provide helpful information in determining causes of respiratory acidosis. Radiologic studies (CT scanningand magnetic resonance imaging [MRI]) of the brain should be considered if a central cause of hypoventilation and respiratory acidosis is suspected. Tests for pulmonary function, nerve function, and transdiaphragmatic pressure (when available), may also be helpful. Arterial blood gas (ABG) analysis is necessary in the evaluation of a patient with suspected respiratory acidosis or other acid-base disorders. The bicarbonate level reported on the blood gas analysis is calculated from the Henderson-Hasselbalch equation. Thus, a measured serum bicarbonate level must also be obtained. Other tests that may be helpful include serum ele Continue reading >>

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  1. re76

    After having to deal with one too many people telling me that Keto is no better than a basic calorie restricted diet, I did some research and decided to arm myself with knowledge. What follows is a piece I typed up mainly for my own benefit and a few of my other keto-friends, but I thought I should share it here so others might benefit from it as well.
    Disclaimer: This is all based off my own personal research and I will openly admit it very well might be flawed. Anyone who knows better please correct me...
    How Keto Works
    It is common knowledge that weight loss can be expressed as a function of calories in vs. calories out. Eat too many calories and you store fat, eat less calories and you burn fat. This is a true statement in general but the one thing to keep in mind is that this is a gross simplification of how the body works. There are actually many other factors at play. In order to expand on these other factors we first need to understand how the body works in a typical scenario.
    The body has many ways to store energy, but two of the most common are glycogen and ketones. Glycogen is formed from carbohydrates, while ketones are derived from fat. The body prefers glycogen because it requires less energy to make, this is sort of a path of least resistance scenario. When we ingest carbs, they immediately get turned into glucose and the body does one of three things (maybe four) with them:
    If our blood glucose is low, they will immediately be used in order to increase the blood glucose level.
    If our blood glucose is normal, but our glycogen reserves are not at capacity, it will convert the glucose into glycogen, which is stored in the liver, and partly the muscle, for later use.
    If our blood glucose is normal, and our glycogen reserves are full, the glucose is converted into a triglyceride which is then stored in fat tissue.
    If our blood glucose is high, you are either insulin resistant or your pancreas is not functioning properly. You have bigger problems.
    This whole process is regulated by our pancreas, which secretes two hormones, insulin and glucagon. Insulin signals the body to reduce the blood glucose level by telling adipose fat tissue to take in the extra blood glucose and store it away as fat. Glucagon signals the body to increase blood glucose level by telling the liver to release glucose into the bloodstream (glycogen is what it uses to make the glucose). The problem with eating a carbohydrate rich diet is that we are constantly adding a bunch of glucose into our system, which is then causing "insulin spikes" to try and tame our rapidly skyrocketing blood glucose level. Unless we have depleted our glycogen reserves this insulin response causes the glucose to be immediately stored as fat. Even more scary though is if we keep doing this long enough, there is a possibility to develop an insulin resistance. Now you are pre-diabetic.
    This repetitive spiking of insulin any time we eat, causes us to almost always have an elevated level of insulin. The elevated level of insulin actually prevents us from converting fat into energy, because the insulin is signaling the body to do the exact opposite. This is why on a carbohydrate heavy diet, you become lethargic and sleepy if you don't eat.Your body is so reliant on a constant stream of glucose that you become very inefficient at actually converting stored fat back into a usable form of energy.
    So how do we break this cycle and get our body back on track? Eat fewer carbs. So now that we understand how the glucose pathway (glycolosis), lets discuss the less known, and less used ketone pathway (ketogenesis).
    So if you think back to biology you might remember things called mitochondria, the citric acid cycle, and ATP. Basically mitochondria use the citric acid cycle and an input, either Pyruvate which is derived from glucose, or Acetly-CoA which is a ketone body. They both can be used to create ATP, the energy of our body, but they come from very different pathways.
    Ketone bodies are produced when the body is depleted of carbohydrate stores such as glycogen, and there is a low level of blood glucose. When our body gets to this point it realizes it needs some way to create energy (ATP), but it has to start using a secondary method of getting ATP. This is where ketogenesis comes into play. The body can use Acetyl-CoA which is a ketone, to fuel the citric acid cycle. At this point you might be wondering how does the body manage to maintain a safe blood glucose level?
    When in ketosis the blood glucose level is maintained through a process called gluconeogenesis. Gluconeogenesis is a process by which the body can generate glucose from fatty-acids. The fatty acids are provided by our diet, and fat stores (love handles). So by not eating carbs we are forcing our body to derive glucose and ATP from forms of fat. All the while because we are not bombarding our metabolism with glucose from carbs, we have a very small, and very stable amount of insulin in our systems. If you remember back to what Insulin does, it effectively tells our body to pull glucose out of the blood stream and store it; so with low-stable insulin levels this means we have very small opportunity to store fat while in ketosis.
    Another benefit of being in ketosis is now our ketone pathway is firing on all cylinders, and there is no insulin to hinder retrieval of fatty acids from fat stores, we are able to very efficiently create energy from the fat stores that we have. This is why intermittent fasting is such a great compliment to keto. This is also where the "clean-energy" feeling comes from. Even if we go for 12+ hours without eating, it is possible to not feel sleepy or lethargic while in ketosis because the body has a readily available supply of fat that it can pump into the ketone pathway. There are also many other benefits of intermittent fasting such as autophagy, which is a process the body uses to do "house cleaning", basically the body recycles dysfunctional cells.
    I set out to just outline WHY keto is good, but I ended up writing a full discourse on HOW it is good. To summarize the main benefits of keto are:

    It manipulates your metabolism to a state where converting fat into energy is extremely easy.

    It regulates insulin production, and prevents or even corrects, insulin resistance.

    It provides very consistent and clean energy levels by stabilizing insulin production, and promoting use of fat stores as energy in periods of fasting.
    So even though it is possible to lose weight using a normal calorie-restricted approach, the keto approach is much more conducive to weight loss, because it promotes the burning of fat as energy. It also allows you to eat more calories because the ketone pathway is overall less efficient than the glucose pathway, in terms of ATP/calorie, this goes back to the path of least resistance thing.
    EDIT: Wow this got much more attention than I was expecting. I have been at work all day, but I will do my best to respond to all the questions/messages when I get home tonight. Also, thanks to whoever gave me the gold!
    EDIT2: I will be updating this over the next day or so to incorporate all of the errors/issues people pointed out in the comment discussions. Thanks for all the great info and feedback everyone!

  2. drjesus616

    Reading more and more about this diet is helping me to come to grips with the benefits rather than forcing myself back into the same old habits. For instance, if you would have told previous carb heavy 500+ pound me that I would be able to go 10+ hours, doing physical activity without eating I would have called bullshit. Today I've actually had less than half my target calories, I'm not hungry, was able to play 18 holes of disc golf, run errands and never once did i think of when I can get food in me. This diet/ lifestyle really is going to work, thank you all so much for the help and guidance.
    Edit: I am however sleepy, sorry about the grammar.

  3. Biospider

    Energy is able to flow freely from your fat stores, so that's a ton of energy that you're not hungry for. Lock your fat stores by eating carbohydrates and you'll find yourself starving in no time. I mean... please don't do that, but that's what would happen.
    It's probably best you go by hunger instead of target calories. You can't really predict how much energy is provided internally, but your body will let you know how much more it requires.
    edit: Also, keep it up!

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Hello guys In this video discuss about the basic concept of acidosis and alkalosis and Discuss the topic of respiratory acidosis The cause Sign symptom and treatment Please subscribe my channel for more video And comment which video you want discuss in next videos. Thanks

Respiratory Acidosis

PaCO2 increase by 10 mmHg decreases pH 0.08 Bicarbonate increases 1 meq/L per 10 mmHg PaCO2 rise PaCO2 increase by 10 mmHg decreases pH 0.03 Bicarbonate increases 4 meq/L per 10 mmHg PaCO2 rise Rutecki (Dec 1997) Consultant, p. 3067-74 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Respiratory Acidosis." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images Related Studies (from Trip Database) Open in New Window A state due to excess retention of carbon dioxide in the body. Acid base imbalance resulting from an accumulation of carbon dioxide secondary to hypoventilation. excess retention of carbon dioxide in the body resulting from ventilatory impairment. Respiratory retention of carbon dioxide. It may be chronic or acute. Acidoses, Respiratory, Acidosis, Respiratory, Respiratory Acidoses, Respiratory Acidosis, ACIDOSIS RESPIRATORY, Hypercapnic Acidosis, hypercapnic acidosis, respiratory acidosis (diagnosis), respiratory acidosis, Acidosis respiratory, Respiratory acidoses, Acidosis, Respiratory [Disease/Finding], acidosis respiratory, RESPIR Continue reading >>

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Popular Questions

  1. Thepocketmouse

    Ew. Just ew. I've been fully in ketosis for about six hours now. How do I know this? My mouth tastes like ass. No number of mints helps. Neither did brushing my teeth and tongue, though I didn't really expect it to.
    Halp. Anyone know how to make this less of an issue?

  2. #2 Guest_peaceanart_*

    Wait until you get the hairy tongue. After your body goes through Ketosis while fasting or drastic weight loss you will get a flaky/ hairy feeling tongue which will last for about 2 days. And tell me tell you.....IS ANNOYING AND DISCUSSING!

  3. Illuminate

    Ugh my tongue is swollen. But id rather have bad breath and swollen tongue and loose a ton of weight.

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