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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
Yes: Dka can be trigerred by some illnesses if measures aren't taken to prevent it. ...Read more
Lactic acidosis: Most cases of type a lactic acidosis are due to marked tissue hypoperfusion in shock or during cardiopulmonary arrest. In type b lactic acidosis, systemic tissue hypoperfusion is not apparent. Metformin therapy for type ii diabetes can cause it, although the likelihood of this is relatively low. Risk factors for this include impaired kidney function and liver disease or concurrent alcohol abuse. ...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
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
Yes: RTA doesn't cause elevated anion gap, but other disorders that do can be present along with RTA. For example, advanced kidney failure can cause anion gap, and also cause RTA. Usually simple math will show that the anion gap doesn't completely account for the degree of acidosis, and urine tests can demonstrate presence of RTA. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Is onglyza (saxagliptin) safe for long term treatment? Possible pancreatitis and thyroid cancer? How to avoid pancreatitis, lactic acidosis, & ketoacidosis?
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
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 moreSee 1 more doctor answer
Depends: Only people with diabetes can develop diabetic ketoacidosis. If someone who already has diabetes has a septic abortion, that is, an abortion that becomes infected, they could develop the condition. Diabetic ketoacidosis is often caused by an underlying infection. ...Read moreSee 1 more doctor answer
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
VITAMIN B6 14.6 NMOL/L 20.0-125.0 L pyroxidine, serum (vitamin B-6) Does this mean I'm b-6 deficient?
Likely: Whoever ordered the blood draw is the best to interpret the results. I'm not familiar with measuring B6 routinely so I'm not sure how accurate or reliable the test is. ...Read more
1.Are there any surgical procedures to remove the uric acid crystals? 2. Is thiazide induced gout reversible ?
Yes: Collections of gout crystals are called tophi. They can be removed surgically if your circulation is adequate. Thiazide is a diuretic. By removing water in your system you in effect increase the concentration of uric acid in the blood. This caused the gouty attack. ...Read moreSee 2 more doctor answers
Yes: yes It can help some but not a lot ...Read more