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Doctor insights on: Hyperchloremic Acidosis

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Can haemodialysis correct metabolic acidosis in renal failure patient?

Can haemodialysis correct metabolic acidosis in renal failure patient?

Renal Replacement Th: Dialysis is one of the treatments for metabolic acidosis. Depending on the cause as well as the other medical problems and type of the acidosis, correcting the inciting problem is the first step dialysis may or may not be needed. ...Read more

Acidosis (Definition)

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


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Why does respiratory alkalosis cause hypokalemia while metabolic acidosis causes hyperkalemia?

Why does respiratory alkalosis cause hypokalemia while metabolic acidosis causes hyperkalemia?

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 more

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How's hyperosmolar hyperglycemic nonketotic coma treated?

How's hyperosmolar hyperglycemic nonketotic coma treated?

Insulin and fluid: Insulin and saline are administered intravenously and other medications added depending on the clinical findings and lab tests. ...Read more

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What causes diabetic keto acidosis?

What causes diabetic keto acidosis?

Dka: Diabetic ketoacidosis is a condition whereby glucose which is used by cells for energy is not made available to the cells due to a lack of insulin. The lack of Insulin causes a dramatic rise in blood sugar triggering a host of meatbolic derangemants including dehydration as well as the production of ketones which are toxic as it raises the bodies acid level and will affect potassium levels. ...Read more

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How can diabetic ketoacidosis (w/ metabolic acidosis) causes respiratory failure?

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 more

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What is hyperglycemic hyperosmolar nonketotic syndrome?

What is hyperglycemic hyperosmolar nonketotic syndrome?

Very high sugar: This occurs when the sugar gets very high, usually over 600. Because of the very high sugar the blood becomes very viscous, the patient is dehydrated and may become very lethargic or pass out. ...Read more

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What exactly is hyperchloremic acidosis?

Loss of fixed base: This is lost from the body when the proximal renal tubule does a poor job of reabsorbing bicarbonate, (sodium bicarbonate) drainage of pancreatic fluid, diarrhea (usually rich in potassium and bicarbonate), and a few less common entities. It's a sign on a lab report intended to guide treatment rather than a disease itself. Great question, and thanks for asking. ...Read more

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Is serum Osmolality typically elevated in metabolic acidosis/alkalosis and ethylene glycol poisoning?

Yes: Particularly with ethylene glycol poisoning. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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What is metabolic acidosis in chronic renal failure from?

What is metabolic acidosis in chronic renal failure from?

Unable to remove: Metabolic acidosis is a constituent of renal failure, arising mainly from the inability of kidney to remove excess acids in blood. ...Read more

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Does food change lactic acidosis levels?

Yes: Many foods are acidic in nature and so anything acidic can make an acidosis worse. Alkaline diets (increasing avocado, kale, spinach, cucumber, celery for example) can help balance and acidic condition. Meats are very acidic, by the way. ...Read more

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What is high anion gap metabolic acidosis?

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

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How are respiratory acidosis and metabolic acidosis different?

The source: Respiratory acidosis is the result of co2 build up in the blood, metabolic acidosis is the result of inability to remove acids or the addition of acids to the system. ...Read more

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What is diabetic keto acidosis?

DKA: A metabolic emergency for patients primarily with type 1 diabetes, DKA symptoms include those of high blood sugars initially. As the ketones build up, patients may have a fruity odor on the breath, get abdominal pain & vomit. Because they're already urinating a lot, dehydration can get bad. Some may breathe fast, get headaches, have altered consciousness. Without proper treatment, death imminent. ...Read more

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Respiratory acidosis and metabolic acidosis, which is worse?

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

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Why need I increase bicarbonate (sodium bicarbonate) levels in respiratory acidosis?

Why need I increase bicarbonate (sodium bicarbonate) levels in respiratory acidosis?

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

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I'm confused, what is lactic acidosis?

Dangerous condition: The body generates energy by breaking down fat and sugar thru a very efficient mechanism that uses oxygen and produces carbon dioxide and water. When this mechanism fails, there is another inefficient back up system that generates lactic acid. Poor blood flow, low oxygen, medications, poisons, excessive exercise can cause this lactic acidosis. It should be corrected promptly. ...Read more

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What's lactic acidosis?

Lactate + low pH: Lowered ph in your blood accompanied with a build-up of lactate. ...Read more

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Hi, is the metabolic acidosis in chronic renal failure fatal ?

Hi, is the metabolic acidosis in chronic renal failure fatal ?

Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more

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What's nonketotic hyperglycinemia?

What's nonketotic hyperglycinemia?

Medical emergency: Nonketotic hyperglycemia is seen in type 2 diabetes when patients become severely dehydrated due to stress, infection, cortisone, etc and develop very high blood sugars that are commonly 1, 000 mg/dl or greater. It is a medical emergency that requires very large amounts of IV fluids and small amounts of Insulin for control. You also need to treat the infection or other cause(s). ...Read more