Respiratory Acidosis Treatment With Sodium Bicarbonate

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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.

Metabolic Acidosis Treatment & Management: Approach Considerations, Type 1 Renal Tubular Acidosis, Type 2 Renal Tubular Acidosis

Metabolic AcidosisTreatment & Management Author: Christie P Thomas, MBBS, FRCP, FASN, FAHA; Chief Editor: Vecihi Batuman, MD, FASN more... Treatment of acute metabolic acidosis by alkali therapy is usually indicated to raise and maintain the plasma pH to greater than 7.20. In the following two circumstances this is particularly important. When the serum pH is below 7.20, a continued fall in the serum HCO3- level may result in a significant drop in pH. This is especially true when the PCO2 is close to the lower limit of compensation, which in an otherwise healthy young individual is approximately 15 mm Hg. With increasing age and other complicating illnesses, the limit of compensation is likely to be less. A further small drop in HCO3- at this point thus is not matched by a corresponding fall in PaCO2, and rapid decompensation can occur. For example, in a patient with metabolic acidosis with a serum HCO3- level of 9 mEq/L and a maximally compensated PCO2 of 20 mm Hg, a drop in the serum HCO3- level to 7 mEq/L results in a change in pH from 7.28 to 7.16. A second situation in which HCO3- correction should be considered is in well-compensated metabolic acidosis with impending respira Continue reading >>

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  1. dietcherry


    This serious complication, the result of acid buildup in the blood, can lead to coma or even death.
    If you have type 1 diabetes, one of the serious complications you may face is a condition known as ketoacidosis. In diabetic ketoacidosis, acids called ketones build up in your blood and could eventually lead to diabetic coma or death.
    But by vigilantly controlling your diabetes and watching for early signs of ketoacidosis, you can help prevent it from happening to you.
    What Is Diabetic Ketoacidosis?
    "When blood sugars get elevated and there is not enough insulin, your fat cells start to break down their storage sites of energy, which are called ketones," says Jay Cohen, MD, medical director of the Endocrine Clinic and clinical assistant professor in the department of family medicine at the University of Tennessee. Ketones are acidic, and that acid builds up in your blood.
    Diabetic ketoacidosis is found more often in younger people than older people, and more often in women than in men. At least 20 percent of people learn they have diabetes after seeking medical care for complaints that turn out to be symptoms of ketoacidosis.
    Common Causes of Diabetic Ketoacidosis
    The three common causes of ketoacidosis are:
    Not enough insulin. This can happen if you don’t inject enough insulin or if your insulin needs increase in response to an illness such as a cold or the flu. Blood glucose can’t be used for energy without enough insulin to help in the process, so the body breaks down fat for energy and high ketone levels result.
    "Elevated blood sugars could be due to an infection or any other physical or emotional stress — good or bad," says Dr. Cohen. Unexpected increases in your blood glucose levels can increase your insulin needs. "You may have a certain amount of insulin that you usually use, but if you have an infection, you may need more insulin to help your body to improve blood sugars," Cohen explains.
    Not enough food intake. If you don’t eat enough, your body has to break down fat for energy, producing high ketone levels. This is particularly common in people who are sick and don't feel like eating.
    Low blood glucose levels. This situation can force your body to break down fat to use as energy, resulting in ketone production.
    Diabetic Ketoacidosis Symptoms
    Symptoms of ketoacidosis usually progress relatively slowly. But since diabetic ketoacidosis can be a life-threatening condition, it is important to seek medical help immediately if you experience any of its symptoms. These include:
    Excessive thirst
    Dry mouth
    Frequent urination
    Elevated blood glucose levels
    Elevated ketones in the urine
    Persistent fatigue
    Skin that is dry or flushed
    Nausea or vomiting
    Pain in your abdomen
    Shortness of breath
    A fruity smell to your breath (the result of elevated ketone levels)
    Inability to concentrate
    Confused state
    Preventing Diabetic Ketoacidosis
    Ask your endocrinologist how you can reduce your risk of developing diabetic ketoacidosis. It is often a good idea to use a home dipstick test to check for ketones in your urine when your blood glucose levels are high (over 240 milligrams per deciliter) and when you have an infection.
    Diabetes education also helps. One study found that hospital stays for ketoacidosis were reduced among a group of people who attended diabetes education classes.
    Managing Diabetic Ketoacidosis
    If think you may have ketoacidosis, it is essential to contact your doctor or get to the emergency room immediately.
    "If we can catch it early, with medicine and IV fluids, we can stop the diabetic ketoacidosis from progressing to severe dehydration," says Cohen. "Diabetic ketoacidosis, if severe and not treated aggressively, has about a 5 percent death rate, so you really want to get a handle on it rapidly."
    Remember that regularly monitoring your blood glucose levels, performing urine ketone tests as recommended, and recognizing symptoms that might indicate your ketone levels are high is the best approach to reducing your risk of diabetic ketoacidosis.
    From Everyday Health

  2. Gem93

    I recently had a friend that got DKA she only had ketones for a day and was bring violently sick she couldn't test for ketones as her strips were left at her uni campus and went home to visit her family for the weekend her mum was just about to leave to go get the strips when she said I don't feel well take me to hospital betime she got to hospital ( which is a 10 min drive from where she lives) her vains had short down and the only vain left was the one to her heart they had to cut her throat open to put in an insulin drip immediately and was put in intensive care her family was told she might not make it and that was from having ketone symptoms for just a few hours / day at the most .. This has woken me up to life alot Snd made me realise what can happen if you don't look after yourself

  3. dietcherry

    OMG Can you get her to join here so we may talk to her?

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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 Acidosistreatment & Management

Respiratory AcidosisTreatment & Management Author: Ryland P Byrd, Jr, MD; Chief Editor: Zab Mosenifar, MD, FACP, FCCP more... Treatment of respiratory acidosis is primarily directed at the underlying disorder or pathophysiologic process. Caution should be exercised in the correction of chronic hypercapnia: too-rapid correction of the hypercapnia can result in metabolic alkalemia. Alkalization of the cerebrospinal fluid (CSF) can result in seizures. The criteria for admission to the intensive care unit (ICU) vary from institution to institution but may include patient confusion, lethargy, respiratory muscle fatigue, and a low pH (< 7.25). All patients who require tracheal intubation and mechanical ventilation must be admitted to the ICU. Most acute care facilities require that all patients being treated acutely with noninvasive positive-pressure ventilation (NIPPV) be admitted to the ICU. Consider consultation with pulmonologists and neurologists for assistance with the evaluation and treatment of respiratory acidosis. Results from the history, physical examination, and available laboratory studies should guide the selection of the subspecialty consultants. Pharmacologic therapies Continue reading >>

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  1. Karan Sharma


    Medical Conditions and Diseases

    Medicine and Healthcare

    What are the first complications of diabetes?

    1 Answer

    There are a number of complications that can develop in long term diabetics.
    One of the earliest complication that can be seen in an Undiagnosed Type I diabetic is Diabetic Ketoacidosis (DKA)[1].
    In diabetics on treatment, hypoglycaemia is also a common complication that can occur.
    [1] Causes, Symptoms and Treatment of DKA

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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: Is The Correction With Bicarbonate Worth?

Respiratory acidosis: is the correction with bicarbonate worth? Gattinoni L, et al. Minerva Anestesiol. 2006. Institute of Anesthesia and Intensive Care, University of Milan, Milan, Italy. [email protected] Minerva Anestesiol. 2006 Jun;72(6):551-7. Bicarbonate infusion is traditionally used to increase pH during metabolic acidosis, but it has been also suggested to increase the pH during permissive hypercapnia. In this paper we will discuss the physicochemical effect of adding (Na+ HCO3-), first in a closed system (venous blood) and then in an open system (the blood after the lung). According to Stewart model, in the closed system two independent variables are changed (CO2 and strong ion difference). As a first result changes in pH are negligible. If the CO2 is cleared by the lung and the PCO2 is maintained as before the infusion, the rise in pH is due to the SID increase caused by the (Na+) rise. The effect is independent on (HCO3-) infusion and equivalent to adding (Na+ OH-) instead of (Na+ HCO3-). Continue reading >>

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  1. darsmama

    Apologies if this has been asked before, but I didn't see any posts for it.
    Is the Dr. Atkins diet safe while breastfeeding? I did it summers ago and lost a lot of weight and felt AWESOME (though I did do more veggies and fruit then recommended)...Anyways, would there be any complications doing it while I'm breastfeeding?
    Thanks in advance!!!

  2. Brayg

    What would be UNsafe about cutting out refined, processed foods and replacing them with whole foods, veggies and fruits? If you keep it balanced like you should, it's perfectly safe. I would maybe skip induction, but follow maintenence or restrict the bad carbs a little more.
    ETA: I also didn't really restrict fruits and veggies ('cept the starchy veggies--potatoes, corn and peas) and made sure I ate a green salad with every meal (not breakfast though! :LOL). I lost a lot of weight. But I also did exercise regularly, which is a major component.
    Good luck!

  3. lynsage

    a lot of people use the words "atkins diet" as shorthand for "cutting back refined carbs". if you actually read the literature for the atkins diet (dr atkins' new diet revolution), it advises against pregnant or breastfeeding women going on the diet.
    the point of the atkins diet is to put the dieter in a state of ketosis, and the ketones get into your breastmilk and could harm your baby.
    if you are talking about maintaining a balanced diet with 5 servings of fruits and veggies a day and switching to healthier carbs like whole grains and brown rice, cutting back on white sugar, etc., that would be fine, but it's also not the real "atkins diet". you should definitely skip the induction portion of the diet (that's the part with no carbs) and avoid going into ketosis.

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