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What Is The Most Common Cause Of Metabolic Acidosis?

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You can support the work of campbellteaching, at no cost whatsoever to yourself, if you use the link below as your bookmark to access Amazon. Thank you. If in the US use this link http://goo.gl/mDMfj5 If in the UK use this link http://goo.gl/j0htQ5 Fluid and electrolytes Fluid regulation ADH (antidiuretic hormone) - released when water levels are low to increase tubular reabsorption Electrolyte regulation Aldosterone - released when serum sodium is low to increase tubular reabsorption. Water balance Assess drinking ability in all patients Fluid balance charts Insensible loss, 400 mls skin, 400 mls lungs, metabolic water 400mls day Varies with stress, ambient conditions, fever Daily weight Too much water Increased intake or reduced output Iatrogenic fluid overload Big risk in children Water intoxication, polydipsia Disease states causing fluid retention Renal impairment Heart failure Hypoalbuminaemia Hepatic cirrhosis Clinical features Polyuria, light colour if normal renal function Oedema Pulmonary oedema, orthopnoea Raised jugular venous pressure May contribute to congestive cardiac failure Pleural and pericardial effusion Ascites Reduced electrolyte concentrations Overhydration o

Fluid, Electrolyte & Acid-base Balance Practice Qs

Which of the following is NOT one of the four basic concepts pertaining to fluid and electrolyte regulation? Cells are able to move water by the process of active transport. The body content of water or electrolytes will rise if intake exceeds outflow and fall if losses exceed gains. There are no receptors that can directly monitor fluid and electrolyte balance. All homeostatic mechanisms that monitor and adjust composition of body fluids respond to changes in the ECF, not the ICF. Cells are able to move water by the process of active transport. Which of the following occurs when large amounts of pure water are consumed? Osmolarities of the two compartments are slightly lower. A fluid shift occurs, and the volume of the ICF decreases. Osmolarities of the two compartments are slightly lower. Approximately __________ of peritoneal fluid is produced and reabsorbed each day. In which of the following ways do renal and pulmonary mechanisms NOT support the body's buffer systems? control of the excretion of acids and bases secretion and absorption of hydroxide ions secretion and absorption of hydrogen ions secretion and absorption of hydroxide ions Why must tubular fluid be buffered, kee Continue reading >>

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  1. Molly_Stevens

    Keto Strips - No Ketones!

    I'm 31 days in and decided to buy some of these at Walgreens http://fw.to/YqxKTWV
    4 because I was curious if I am in ketosis and I have some flex-spending $$ to use up (the strips are an eligible purchase). I had eaten maybe 3-5 net carbs today and plenty of fat, worked out this morning, and had gone from dinner until lunchtime without eating. So, was totally surprised that the urine strip color this evening (about 3 hours since I last ate) indicated zero ketones.

    Any thoughts on why? I'm more curious than anything else.

  2. cashfoley

    The strips aren't accurate once you are fat adapted. When you pee them out, those are excess ketones you aren't burning. When your body gets good at it, it doesn't generate excess. This is actually well known.
    Blood is more accurate but costs a bit. The Ketonix breath analyzer is pricey but is reusable for free.

    It doesn't really seem like you need it to know you are doing well. These things are good at fine tuning to find out what you can get away with or for more detailed health needs.

  3. Jim Russell

    There is also a thread about using a cheap alcohol breathalyzer for testing ketones.
    Test Breath Ketones without a Ketonix (using a cheap breathalyzer)
    I've wanted a ketonix for a while but am not going to fork over hundreds of dollars. So I followed some advice and got myself a cheap breathalyzer on ebay. Apparently they don't distinguish between alcohol and acetone. IT WORKS! Now I can measure easily whether or not I am in ketosis anytime I suspect I may have dropped out. The ketostix stopped working for me a long time ago as my body is very well adapted and I don't excrete a lot of measurable ketones.The breathalyzer is not much good for…

    I bought one and it's been working well.

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Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Metabolic Acidosis: Pathophysiology, Diagnosis And Management: Causes Of Metabolic Acidosis

Recommendations for the treatment of acute metabolic acidosis Gunnerson, K. J., Saul, M., He, S. & Kellum, J. Lactate versus non-lactate metabolic acidosis: a retrospective outcome evaluation of critically ill patients. Crit. Care Med. 10, R22-R32 (2006). Eustace, J. A., Astor, B., Muntner, P M., Ikizler, T. A. & Coresh, J. Prevalence of acidosis and inflammation and their association with low serum albumin in chronic kidney disease. Kidney Int. 65, 1031-1040 (2004). Kraut, J. A. & Kurtz, I. Metabolic acidosis of CKD: diagnosis, clinical characteristics, and treatment. Am. J. Kidney Dis. 45, 978-993 (2005). Kalantar-Zadeh, K., Mehrotra, R., Fouque, D. & Kopple, J. D. Metabolic acidosis and malnutrition-inflammation complex syndrome in chronic renal failure. Semin. Dial. 17, 455-465 (2004). Kraut, J. A. & Kurtz, I. Controversies in the treatment of acute metabolic acidosis. NephSAP 5, 1-9 (2006). Cohen, R. M., Feldman, G. M. & Fernandez, P C. The balance of acid base and charge in health and disease. Kidney Int. 52, 287-293 (1997). Rodriguez-Soriano, J. & Vallo, A. Renal tubular acidosis. Pediatr. Nephrol. 4, 268-275 (1990). Wagner, C. A., Devuyst, O., Bourgeois, S. & Mohebbi, N. R Continue reading >>

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  1. DanX47

    Can I do keto and still eat fruits?

    I know fruits have carbs but the keto diet has really grown on me and helped me shed body fat. But I really can't live without fruits and vegetables. Do I have to let go of fruits completely from the keto diet? Or can I still have them even if it makes it a low-carb diet?

  2. RealMenDeadLift

    There is a keto forum you know...

  3. Yankee

    Small portions of high fiber, low GI fruit like berries might be ok...
    But most fruit, due to the concentration of fructose, will knock you right out of ketosis. Pineapple, grapes, mango, bananas...all examples of fruits that are higher in natural sugars.

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Disorders Of Acid-base Balance

Module 10: Fluid, Electrolyte, and Acid-Base Balance By the end of this section, you will be able to: Identify the three blood variables considered when making a diagnosis of acidosis or alkalosis Identify the source of compensation for blood pH problems of a respiratory origin Identify the source of compensation for blood pH problems of a metabolic/renal origin Normal arterial blood pH is restricted to a very narrow range of 7.35 to 7.45. A person who has a blood pH below 7.35 is considered to be in acidosis (actually, physiological acidosis, because blood is not truly acidic until its pH drops below 7), and a continuous blood pH below 7.0 can be fatal. Acidosis has several symptoms, including headache and confusion, and the individual can become lethargic and easily fatigued. A person who has a blood pH above 7.45 is considered to be in alkalosis, and a pH above 7.8 is fatal. Some symptoms of alkalosis include cognitive impairment (which can progress to unconsciousness), tingling or numbness in the extremities, muscle twitching and spasm, and nausea and vomiting. Both acidosis and alkalosis can be caused by either metabolic or respiratory disorders. As discussed earlier in this Continue reading >>

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  1. micky03

    Hi everyone! Firstly - thanks so much for this amazing resource, I've just started out with Keto after being recommended by a few friends and this forum has been such a great source of info. I'm 26, female and my starting weight was 64kg (est. BF 30%).
    I've just finished my 2nd week of Keto, sticking pretty close to my macros with under 30g carbs daily, have always been in a calorie deficit (eating around 1100 daily, pretty clean), and have done 1hr of cardio every day. I had one small carb reload day last week where I had 175g of carbs, but still remained at a calorie deficit and walked up a mountain the same day.
    The first week I had a good loss of 1.4kg. I've just weighed myself this morning and I seem to have gone back up to 63.2kg... any idea what I am doing wrong? I've checked to see why people gain weight on Keto and I don't think I've made any of the usual mistakes, I'm not building any muscle currently, and it seems far too early for me to have plateaued. Just need a little reassurance that I'm not completely screwing up!
    Thanks
    M

  2. Elliot

    1100 calories sounds like starvation

  3. micky03

    Originally posted by Elliot
    1100 calories sounds like starvation Really? I'm a pretty small woman who doesn't do any weight training. Everything tells me that 1000-1200 is the recommended for someone my size/gender/age?
    That's 3 full meals a day + snacks, and I'm always feeling full. I'm not restricting my calories in any way, that's just what it comes out as.

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