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What Is Partially Compensated Metabolic Acidosis?

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Metabolic Alkalosis - Endocrine And Metabolic Disorders - Merck Manuals Professional Edition

(Video) Overview of Buffering and the Henderson-Hasselbalch Equation By James L. Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincents Ascension Health, Birmingham Metabolic alkalosis is primary increase in bicarbonate (HCO3) with or without compensatory increase in carbon dioxide partial pressure (Pco2); pH may be high or nearly normal. Common causes include prolonged vomiting, hypovolemia, diuretic use, and hypokalemia. Renal impairment of HCO3 excretion must be present to sustain alkalosis. Symptoms and signs in severe cases include headache, lethargy, and tetany. Diagnosis is clinical and with arterial blood gas and serum electrolyte measurement. The underlying condition is treated; oral or IV acetazolamide or hydrochloric acid is sometimes indicated. Metabolic alkalosis is bicarbonate (HCO3) accumulation due to Intracellular shift of hydrogen ion (H+as occurs in hypokalemia ) Regardless of initial cause, persistence of metabolic alkalosis indicates that the kidneys have increased their HCO3 reabsorption, because HCO3 is normally freely filtered by the kidneys and hence excreted. Volume depletion and hypokalemia are the most common stimuli for increa Continue reading >>

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Popular Questions

  1. [deleted]

    Hey fellow Ketoers. I've been doing the keto diet for about a month and a half now. I've been enjoy it, and have lost my constant craving for sweet carby things. I have some concerns though.
    I'm getting through life with a number of mental illnesses, one being Borderline Personality Disorder, which results in (sometimes) extreme emotional disregulation. I've been having some very serious downspells since starting this diet. This could be a result of a number of things though. I've been having a rough time IRL, therapy has been causing me to open my emotional mind up a little more, and then there's the serotonin part of the equation.
    I've read many conflicting articles about the link between carbs and serotonin production. From what I've read, carbohydrates = serotonin, which is pretty obvious. Eat cookie, get happies, so I can see some truth in that. Some say that low carb diets cause depression, due to a decrease in serotonin production, others say carbs themselves cause the depression, and so on. There's so much conflicting information though, so I'm not sure what's the truth. It's very possible my bouts of depression are just a result of my mental state, and then again it seems very possible that the lack of carbs are screwing over my already lacking serotonin output, which I outright refuse to take (pharmaceutical) medicine for.
    I suppose it isn't much of a question, and more about input. Has anyone else experienced anything similar? Any stories to share? Thanks for reading, and anything you may share!
    Edit for bits left out.

  2. BwanaSplit

    Honey, I've only been on Keto for four days, so I can't comment on what it's like a month in, however my mood has been excellent. But I do take my SSRIs when I need them :) No one can tell you what is right for you, but when I was being anti about going back onto my meds, wanting to tackle the problem solely with counselling and group my GP said "you've got so much going on in your life, and the counselling and group are important, but I really would like you to think about attacking this from ALL angles, and the medication is one of those." Then he gave me a script, in case I changed my mind. Because he wasn't forcing them down my throat, and because he was recommending them as a part of the solution (not the WHOLE solution), and because he explained his reasoning so clearly, I trusted him and took his advice. That time round I caught my sneaky spiral at the beginning, and I was back off my meds in a matter of months. I'm currently back on, second week in, having caught myself at the anxious/not sleeping stage - victory! I will always struggle at certain times in my life, but through my counselling and group work the struggle doesn't consume my whole life. But they wouldn't have worked without my SSRIs.
    Again, no one can tell you what's right for you, but I hope you'll consider my experiences with the meds when you are making your (informed) decisions.
    Hugs, hugs, hugs xxx

  3. [deleted]

    Thanks for that. :D And damn that friggin' spiral!
    Here's my reason for my fear of the meds- when I finally got to a point where I was willing to get help and try medication, the free, government handout man gave me some Paxil for anxiety, and Ambien for insomnia. Fast forward three weeks, I slept walk on my Ambien, took at least two more in my sleep, and sleptwalked a few miles away, and woke up naked on a bench. Had a mental breakdown the next day, and landed in the mental hospital for a couple days. I just don't think I'm ready to trust the pills yet. Maybe when I can get a doc that I feel comfortable with, and safe with, maybe then. I'm still terrified at what legal, prescription pills can do. :\
    I'm glad you got something that's helping you, though. It's amazing how much good (or bad) some of those meds can do. You just gotta find the magic one sometimes. A risk though, that I'm just not willing to take just yet.
    Also, the diet has made me feel wonderful, physically, and I've been very motivated! It's just the valleys that I'm concerned about. :s
    Thank you for your kind and encouraging words! xoxoxoxoxopppppandsomeotherletters

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