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Doctor insights on: Hypochloremic Acidosis

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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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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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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

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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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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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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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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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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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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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Bun createnine ratio high 29, bun 12.99 and createnine 0.44. Sodium136, k 4.23 chloride 99 ,bicarbonate (sodium bicarbonate) 25.4, specific gravity 1.015. ?

Bun createnine ratio high 29, bun 12.99 and createnine 0.44. Sodium136, k 4.23 chloride  99 ,bicarbonate (sodium bicarbonate) 25.4, specific gravity 1.015. ?

No problem: The ratio seems high because your creatinine is lower than usual. There is nothing with a low creatinine. Women tend to have lower creatinine due to smaller muscle mass, as compared to men. You lab results are fine. ...Read more

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Will sodium bicarb cause hypotension?

Will sodium bicarb cause hypotension?

Nope: Any liquid with salt (sodium) will likely maintain or increase blood pressure. The only time that sodium bicarb would cause problems and lower blood pressure is in someone who has a weak heart and has already congestive heart failure which would be worsened and thus drop blood pressure. ...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 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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Does respiratory alkalosis cause hyponatremia?

Does respiratory alkalosis cause hyponatremia?

Hyponatremia: Many pulmonary illnesses may cause a low sodium level, via induction of inappropriate SIADH. But respiratory alkalosis, by itself, should not lower the sodium level below the normal range. Often, people with respiratory alkalosis may have a lower serum chloride level, to balance for additional bicarbonate (sodium bicarbonate) ions. Hope that helps! ...Read more

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What's lactic acidosis?

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

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How common is lactic acidosis with sepsis?

How common is lactic acidosis with sepsis?

With septic shock: It is a marker for end organ damage due to inadequate oxygen reception or utilization. When sepsis progresses to shock we will follow lactate (its pka is 4, so its never really acid in the blood) as a marker of our success in getting blood and oxygen to the peripheral tissues. So... In sepsis itself (without shock) it is rare, but in septic shock lactate is almost always elevated. ...Read more

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What causes a high anion gap and low bicarbonate (sodium bicarbonate)?

Metabolic Acidosis: In medicine, metabolic acidosis is a condition that occurs when the body produces too much acid or when the kidneys are not removing enough acid from the body. If unchecked, metabolic acidosis leads to acidemia, i.e., blood ph is low (less than 7.35) due to increased production of hydrogen by the body or the inability of the body to form bicarbonate (sodium bicarbonate) (hco3-) in the kidney. ...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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How does high chloride cause a (non-anion gap) metabolic acidosis?

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

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What is the definition or description of: acidosis?

What is the definition or description of: acidosis?

Acid build up: 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 would have an "acidosis". ...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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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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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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What sort of problem is acidosis of the blood?

What sort of problem is acidosis of the blood?

Let's get specific: In the absence of obvious disease / poisoning, perhaps you have been told you have metabolic acidosis (complicates a host of illnesses and especially some of the diabetes / metabolic syndrome pills) or renal tubular acidosis (mild-to-serious problem handling bicarbonate (sodium bicarbonate).) some charlatans diagnose "blood acidosis" without basis. ...Read more

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What is hyperchloremic acidosis? What causes it?

Bicarb wasting: This is a physiologic disturbance when the kidney tubules don't do a good job of reabsorbing sodium bicarbonate. Or the bicarb may be wasted as diarrhea, or chloride overloaded by normal saline infusions, ...Read more

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Why does a reduced metabolism result in acidosis?

What do you mean: by "reduced metabolism"???
This question is incomprehensible as it is, so try to rephrase it. ...Read more

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When you ascend to high elevation acidosis or alkalosis?

Respiratory: alkalosis by increasing ventilation reducing carbon dioxide ...Read more

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Alkalosis and acidosis--is there a visual to see how they work?

Respir. alkalosis: There are. Try one or more of these visuals garnered by google. https://www.google.com/search?q=respiratory+alkalosis&hl=en&rls=com.microsoft:en-us&prmd=imvns&source=lnms&tbm=isch&sa=x&ei=k58eujrmomjc2wxz7ztibq&ved=0ceoq_auoaq&biw=1680&bih=869. ...Read more

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Why does renal secretion of nh3 and nh4+ increase during the process of acidosis?

Acidosis: I would go to wikipedia for a great discussion of this issue. Basically one way to excrete H ion. Do a wikipedia on Metabolic Waste ...Read more

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What's lactic acidosis?

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

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How do we treat lactic acidosis ?

Lactic acidosis: Severe lactic acidosis (la) is often associated with poor prognosis. Recognition and correction of the underlying process is the major step in the treatment of this serious condition. Intravenous administration of sodium bicarbonate (sb) has been the mainstay in the treatment of lactic acidosis. Dialysis, peritoneal in particular, can also be used in some cases to avoid a massive sb load. ...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 are the tests for metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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What symptoms characterize metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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What're some of the causes of metabolic acidosis?

Many causes: This is more of a clinical site. Try googling other sites for basic science stuff. ...Read more

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What are the symptoms common to metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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What is the definition or description of: metabolic acidosis?

What is the definition or description of: metabolic acidosis?

Decreased pH: Metabolic acidosis occurs either from primary acid retention, renal (kidney) dysfunction/failure or bicarbonate (sodium bicarbonate) losses. Primary acid retentions cause anion-gap metabolic acidosis from these etiologies (methanol, uremia, diabetic ketoacidosis, para-aldehyde, isoniazid, lactic acidosis, ethylene glycol, salicylates). Kidney's dysfunction leads to acidosis. Finally any loss of bicarb (diarrhea etc). ...Read more

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How is neonatal jundice lead to acidosis , wish get gd answer ?

It doesn't: Jaundice does not lead to acidosis. However, dehydration contributes to both acidosis and jaundice; therefore, significantly jaundiced babies who are dehydrated are sometimes acidotic. ...Read more