Doctor insights on:
Normally our body chemistry is kept in a narrow range, and in particular the amount of acid in the body is kept within a narrow range. The amount of acid is measured by a value called the ph. It is normally a value between 7.35 and 7.45, values below 7.35 are considered to be "acidotic" a patient with this value of the blood chemistry ...Read more
Metabolic acidosis: A high anion gap acidosis, (h), is an acidosis with a low carbon dioxide (c) and a normal chloride. This low c indicates the presence of an organic acid, such as lactic acid. H is seen in sepsis and diabetic ketoacidosis, among other conditions. It is a serious condition that requires immediate medical therapy to resolve it, as it is often life-threatening. ...Read more
Due to acidosis.,,: The metabolic acidosis causes a respiratory compensation in an attempt by the body to keep the blood ph normal. The respiratory compensation is to increase minute ventilation (both respiratory rate and volume per breath!). So, the person with severe metabolic acidosis will be breathing fast and deeply. Doing this for an extended period of time can lead to fatigue resulting in respiratory failure. ...Read moreSee 3 more doctor answers
See below: Please consult this site for the information. It is more involved than the 400 characters will allow. http://emedicine.medscape.com/article/240809-overview ...Read more
Tubular acidosis question. Gfr improves consistently with b12 shot and bicarbonates (sodium bicarbonate). Nephrologists refer dialysis but crt 2.6 to 1.5 with bicarb. !?
Here are some...: Glad to see her acidosis has been improved from taking sodium bicarbonate. Known to us, dialysis is designed for fluid overload and/or electrolyte and acid-alkaline imbalance. Do nephrologists recommend dailysis now or refer for pre-dialysis assessment? So, ask her doctors for specifics and relevance for renal tubular acidosis, dialysis, etc. because online 400-letter does not suffice to address.. ...Read more
What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?
Difference....: If your ph in your blood is lower than normal, then you have an acidosis. If the ph in your blood is higher than normal, then you have an alkalosis. To figure out if the abnormality is respiratory or metabolic, you need to know the carbon dioxide level. An arterial blood gas test would give the information needed to diagnose the disorder, including whether or not there is compensation! ...Read more
Worse acidosis: Both a respiratory (r) and metabolic acidosis (m) are bad. A r is due to retention of carbon dioxide (c) and a m is due to the presence of an organic acid. The treatment of a r is to reduce the c, blowing of c and the treatment of a m is to get rid of of the organic acid. ...Read more
Yes.: Kussmaul breathing is a deep and labored breathing pattern often associated with severe metabolic acidosis, particularly diabetic ketoacidosis (DKA) but also renal failure. It is a form of hyperventilation, which is any breathing pattern that reduces carbon dioxide in the blood due to increased rate or depth of respiration. In metabolic acidosis, breathing is first rapid and shallow. ...Read more
All things in moder: all things in moderation. in general the american college of cardiology recommend 60 minutes of get-your-heart-rate-up exercise 5 days/wk if you're in shape - 90 minutes if you're not. that being said - "extreme" athleticism might be bad for you and shorten your life. (100 mile marathon runs, climbing mount everest) ...Read more
K and alkalosis acid: Blood K is sensitive to blood pH.( hydrogen ion concentration). When H gets too high (acidosis) it moves into cells to protect from death from too much acid.. As H+ moves into cells a + ion must move out. This is usually K+. Thus hyperK. When H+ gets too low (alkalosis) in blood H+ moves from cell to blood to prevent death from low H+.. As H+ moves out of cell K+ moves in. Thus blood K goes down. ...Read moreSee 1 more doctor answer
Serum Creatinine 1.6, Chloride 108, GFR 48. Would exercise move creatine levels out of normal? A week prior Creatinine 1.4 & Chloride 108. Concerns?
Here are some ...: These reports alone represent your current attainable / acceptable, stable range for your body homeostasis. As long as you have no additional related symptoms, further concern will do no good but practicing healthy lifestyle with no overindulgence / obsession, especially avoiding kidney-insulting drugs, will, a lot. So, live on and ask Doc timely. Best wish ... ...Read moreSee 1 more doctor answer
What does this mean:cerebral spinal fluid analysis: glucose 3.3 mmol/l, chlorides 92.3 mmol/l, protein 0.66 g/l, cytosis 208 (10^6)/l lymphocytes90%?
Acid-base: Physiology is like a delicate balance. If one organ fails to carry its weight, another organ has to compensate. For your acid-base balance, bicarbonate (sodium bicarbonate) (regulated by the kidney) is one side of the balance, and co2 (the lungs responsibility) is the other. If the lungs allow you to accumulate too much co2, then the kidneys (if healthy) will make and retain more bicarbonate (sodium bicarbonate). ...Read more
Does 62yo need physical for supervised walking, stretching+strengthening (bands/free weights+plate-loaded equip), swimming, water exercise/volleyball ?
If pt has potassium 3.3 mmol/L sodium 146 mmolL corrected calcium 2.63 mmol/L magnesium 0.70 mmol/L chloride 95 CHF renal & hepatic failure is it OK to add KCL 30 mmol to normal saline IV?
IV FlUID: The decision is an individualized doctor-specific and patient-specific judgement. ...Read more