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What Is The Ph Of Respiratory Acidosis?

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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: asthma COPD pneumonia sleep apnea TYPES Forms of respiratory acidosis There are two forms of respiratory acidosis: acute and chronic. Acute respiratory acidosis occurs quickly. Its a medical emergency. Left untreated, symptoms will get progressively worse. It can become life-threatening. Chronic respiratory acidosis develops over time. It doesnt cause symptoms. Instead, the body adapts to the increased acidity. For example, the kidneys produce more bicarbonate to help maintain balance. Chronic respiratory acidosis may not cause symptoms. Developing another illness may cause chronic respiratory acidosis to worsen and become acute respiratory acidosis. SYMPTOMS Symptoms of respiratory acidosis Initial signs of acute respiratory acidosis include: headache anxiety blurred vision restlessness confusion Without treatment, other symptoms may occur. These include: https://www.healthline.com/health/res... sleepiness or fatigue lethargy delirium or confusion shortness of breath coma The chronic form of respiratory acidosis doesnt typically cause any noticeable symptoms. Signs are subtle and nonspecific and may include: memory loss sleep disturbances personality changes CAUSES Common causes of respiratory acidosis The lungs and the kidneys are the major organs that help regulate your bloods pH. The lungs remove acid by exhaling CO2, and the kidneys excrete acids through the urine. The kidneys also regulate your bloods concentration of bicarbonate (a base). Respiratory acidosis is usually caused by a lung disease or condition that affects normal breathing or impairs the lungs ability to remove CO2. Some common causes of the chronic form are: asthma chronic obstructive pulmonary disease (COPD) acute pulmonary edema severe obesity (which can interfere with expansion of the lungs) neuromuscular disorders (such as multiple sclerosis or muscular dystrophy) scoliosis Some common causes of the acute form are: lung disorders (COPD, emphysema, asthma, pneumonia) conditions that affect the rate of breathing muscle weakness that affects breathing or taking a deep breath obstructed airways (due to choking or other causes) sedative overdose cardiac arrest DIAGNOSIS How is respiratory acidosis diagnosed? The goal of diagnostic tests for respiratory acidosis is to look for any pH imbalance, to determine the severity of the imbalance, and to determine the condition causing the imbalance. Several tools can help doctors diagnose respiratory acidosis. Blood gas measurement Blood gas is a series of tests used to measure oxygen and CO2 in the blood. A healthcare provider will take a sample of blood from your artery. High levels of CO2 can indicate acidosis.

Respiratory Acidosis

Respiratory acidosis is an abnormal clinical process that causes the arterial Pco2 to increase to greater than 40 mm Hg. Increased CO2 concentration in the blood may be secondary to increased CO2 production or decreased ventilation. Larry R. Engelking, in Textbook of Veterinary Physiological Chemistry (Third Edition) , 2015 Respiratory acidosis can arise from a break in any one of these links. For example, it can be caused from depression of the respiratory center through drugs or metabolic disease, or from limitations in chest wall expansion due to neuromuscular disorders or trauma (Table 90-1). It can also arise from pulmonary disease, card iog en ic pu lmon a ryedema, a spira tion of a foreign body or vomitus, pneumothorax and pleural space disease, or through mechanical hypoventilation. Unless there is a superimposed or secondary metabolic acidosis, the plasma anion gap will usually be normal in respiratory acidosis. Kamel S. Kamel MD, FRCPC, Mitchell L. Halperin MD, FRCPC, in Fluid, Electrolyte and Acid-Base Physiology (Fifth Edition) , 2017 Respiratory acidosis is characterized by an increased arterial blood PCO2 and H+ ion concentration. The major cause of respiratory acido Continue reading >>

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  1. megan

    I recently got the flu and was feeling awful with a temperature and all the fun that comes with it!. I knew I had to keep eating and taking in fluids though. I could barely get out of bed but I did what I had to. On the 3rd day in the night I checked and found I had high levels of ketones in my urine but in my blood it was 0.9. I checked again a little while later and it was 1.1 in my blood. Then 1.4. My sugars weren't too bad. As the ketones were rising and it was getting later I was worried at what point I would need help. The rule of thumb being getting advice at 1.5 and above and if higher and vomiting then going to A & E.
    I rang 111 as I didn't have anywhere else I could ring at that time. Then a paramedic phoned back to chat. She felt a dr was needed. A dr came round and said Id done the right thing. He found I had a UTI so prescribed antibiotics straight away.
    I was in a state but he said the ketones didn't concern him at this point particularly as they'd come down a bit since he arrived. Down to 1.1.
    He was very kind.
    I have since been in touch with my diabetic nurse during work hours and we have an appointment soon. She told me to check my pump Manual for sick days. I did and can't find any mention of ketones with normal blood sugars.
    She told me the treatment is the same. Go to hospital, get put on a glucose drip and double the insulin.
    We are 3 weeks on and I still have the tail end if this horrible flu virus thing. I live with ME and fibromyalgia too.
    I would rather avoid hospital at all costs. Last time I went in years ago for unrelated reasons I had to get my own blankets and meds back to deal with myself. I prefer to feel in some semblance of control in my own home than relying on others.
    What I'd like to know is others experiences and knowledge. Thanks

  2. ME_Valentijn

    megan said: ↑
    My sugars weren't too bad. What's not too bad? Hyperglycemia can result in excess ketone production starting at 13.3.
    There can be a fairly big delay between hyperglycemia and urine ketones ... maybe there's a similar delay with blood ketones? I had an 18.5 spike during the afternoon while at the GP's office with only "small" amounts of ketones in my urine, but measured "large" amounts of ketones in the evening when my blood sugar was already down to 10-11.
    Maybe you missed a spike in your blood sugar, but caught the after-effects in your ketones?
    megan said: ↑
    We are 3 weeks on and I still have the tail end if this horrible flu virus thing. I live with ME and fibromyalgia too.
    I would rather avoid hospital at all costs. Last time I went in years ago for unrelated reasons I had to get my own blankets and meds back to deal with myself. I prefer to feel in some semblance of control in my own home than relying on others. I have ME/CFS too, and totally understand where you're coming from. I stayed home with a likely case of lactic acidosis induced by metformin, because I felt way too sick to deal with calling anyone or going anywhere, much less a hospital. Probably wasn't thinking too clearly either, due to the severe acid-frying-my-brain headache that came with it
    But the noise, the lights, the food, uncomfortable beds ... it would be torture.

  3. megan

    My bloods were between 5 and 11... got to 13 at one point but I also didn't want to go hypo when I was sick at one point. I got very shaky and weak and hot.... I always got told that blood ketone testing was what was going on currently so more correct where as urine test was hours behind .
    There doesn't seem to be much information about this

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The Quick And Dirty Guide To Acid Base Balance | Medictests.com

Your patient has a ph of 6.9 Is he acidic or alkalotic? Your patient has a ph of 7.4 Is he acidic or alkalotic? Your patient has a ph of 7.7 Is he acidic or alkalotic? Your patient has a ph of 7.25 Is he acidic or alkalotic? Your patient has a ph of 7.43 Is he acidic or alkalotic? Your patient has a ph of 8.0 Is he acidic or alkalotic? 1. acidic 2. normal 3. Alkaline 4. Acidic 5. Normal 6. Alkaline You take in oxygen by inhaling, your body turns oxygen into carbon dioxide, you exhale and remove the carbon dioxide from your body. Carbon dioxide is "respiratory acid."When you're not breathing adequately, you are not getting rid of this "respiratory acid" and it builds up in the tissues. The extra CO2 molecules combine with water in your body to form carbonic acid and makes your pH go up. This is bad. We can measure the amount of respiratory acid in the arterial blood using blood gases. They measure the amount of each gas in your blood. We measure the pH, the amount of carbon dioxide (PaCO2) and the amount of oxygen in the blood (PaO2). PaCO2 is the partial pressure of carbon dioxide. We can measure it to see how much respiratory acid (CO2) there is in the blood. We use arterial bloo Continue reading >>

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  1. visvavasu

    Hello, I've been on the keto diet for about 3 months now, and have been fairly strict about it. In the last several weeks, I've been noticing excessive dandruff and scalp itching, and my hair is thinning overall (no receding of the hairline). I'm not prone to balding, so I know this is an effect of the diet. Some sources suggest that low carb diets may increase susceptibility to fungal/yeast infections:
    http://cavemanforum.com/diet-and-nutrition/fungal-infection-(tmi-warning)/
    http://perfecthealthdiet.com/2011/10/jimmy-moore%E2%80%99s-seminar-on-%E2%80%9Csafe-starches%E2%80%9D-my-reply/
    Has any of you faced this before? Please help.

  2. [deleted]

    I quit using shampoo. I still wash my hair, just with only water.
    At first, my hair was greasy/waxy. After a month or so, it is back to normal and my scalp issues have subsided.
    I believe that when you shampoo, your scalp produces more sebum. So it takes awhile for the glands to settle down when you stop.

  3. visvavasu

    Thanks, I've been using a cheap-ass shampoo and that probably is part of the problem. I'll try Nizoral, and after that try getting off shampoo altogether.

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Made during my first semester at medical school and in response to an online request, this video walks you through the basics of understanding the compensation of acids and bases in the body. ABG Cards for Quick Reference: https://amzn.to/2MGvjfU EKG Cards for Quick Reference: https://amzn.to/2Krefht Acid-base, Fluids and Electrolytes Made Ridiculously Simple: https://amzn.to/2KB3bug

4.5 Respiratory Acidosis - Compensation

Acid-Base Physiology 4.5.1 The compensatory response is a rise in the bicarbonate level This rise has an immediate component (due to a resetting of the physicochemical equilibrium point) which raises the bicarbonate slightly. Next is a slower component where a further rise in plasma bicarbonate due to enhanced renal retention of bicarbonate. The additional effect on plasma bicarbonate of the renal retention is what converts an "acute" respiratory acidsosis into a "chronic" respiratory acidosis. As can be seen by inspection of the Henderson-Hasselbalch equation (below), an increased [HCO3-] will counteract the effect (on the pH) of an increased pCO2 because it returns the value of the [HCO3]/0.03 pCO2 ratio towards normal. pH = pKa + log([HCO3]/0.03 pCO2) 4.5.2 Buffering in Acute Respiratory Acidosis The compensatory response to an acute respiratory acidosis is limited to buffering. By the law of mass action, the increased arterial pCO2 causes a shift to the right in the following reaction: CO2 + H2O <-> H2CO3 <-> H+ + HCO3- In the blood, this reaction occurs rapidly inside red blood cells because of the presence of carbonic anhydrase. The hydrogen ion produced is buffered by intrac Continue reading >>

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  1. _fifaking_

    I've had mild sleeping problems for the last 3 years, (E.g taking 1-2 hours to sleep every night). However the last 1.5 months have been really good I was able to sleep very well. A week ago I started the Keto diet and instantly the sleeping troubles came back, (The exact day I started). After failing to fall asleep for 4 hours I have up and consumed a slice of bread and fell asleep 30 minutes later. This happened again the next day. Has anyone experienced this?

  2. srcdren

    I had chronic insomnia for 10 years. Was only able to get 3-4 hrs sleep at at time. I tried everything (and i do mean everything...well I take that back, I don't do illicit drugs...but I tried all of the mainstream advice...including uncommon things like acupuncture) and nothing worked.
    Nutritional ketosis is my latest experiment. The first 4 weeks keto there was no change and my insomnia was still there. After 6 weeks I started getting 6 hrs... Now at 8 weeks I can sleep 7, 8 sometimes 9 hours. One night I slept 10.5 hours which is unheard of for me. But, I've noticed that when my ketones are low (.8 to 1.5 milimolar) I sleep only 6 hours. When they are higher (2.5 to 3) I sleep longer (7-8 hours). I test my ketones daily using a Novamax meter.
    I think the keto diet has cured my insomnia.

  3. LovetoLOSEtoWin

    Yeah the first 3 days I got 1 hour, 2 hours and 20min of sleep respectively.

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