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Doctor insights on: Mudpiles Acidosis

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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

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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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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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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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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Why would keto-acidosis lead to decreased pco2 in arterial blood gases?

Why would keto-acidosis lead to decreased pco2 in arterial blood gases?

Compensation: In response to the low ph caused by the ketoacidosis, the brainstem triggers a dramatic increase in the respiratory rate. This causes the lungs to expel more carbon dioxide in a process known as respiratory compensation for metabolic acidosis. ...Read more

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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

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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 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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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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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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5/2012 3TIA/shock 68/45/mottling/flushing/tinn/MCA 4/2013 Daily HypCrisis HR 48-147 PP 18-22 CerebAneurysm Tbthk sput visible blaschko acrocyanosis +ppl lips/tong Orthypnea Afib Glob Hypoxic injury?

5/2012 3TIA/shock 68/45/mottling/flushing/tinn/MCA 4/2013 Daily HypCrisis HR 48-147 PP 18-22 CerebAneurysm Tbthk sput visible blaschko acrocyanosis +ppl lips/tong Orthypnea Afib Glob Hypoxic injury?

Multiple conditions: Your cardiologist and neurologist are your main sources of help. There are signs of thromboembolism related to atrial fibrillation. Hopefully there is no signs of cerebral impairment- weakness on one side, forgetfulness, slurred speech etc. U need help from ancillary services- physical/speech therapy, rehab etc we need serious help from the supreme being! god bless u! ...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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Why is there an increase in bicarbonate (sodium bicarbonate) during a chronic respiratory acidosis?

Kidneys compensate: Your body tries to buffer the increased carbon dioxide from chronic respiratory acidosis by increasing the bicarbonate (sodium bicarbonate) absorption from the kidneys to keep the body's pH near 7.4. ...Read more

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Cardiac arrest from high potassium treatment in er?

Cardiac arrest from high potassium treatment in er?

High potassium: Yes I have seen this and had a family with several who died from it. Well in them they were treating low K and got it too high. So need more information. Happy to do 2nd opinion. ...Read more

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What causes lactic acidosis? Is it from metformin? How to avoid lactic acidosis?

What causes lactic acidosis? Is it from metformin?  How to avoid lactic acidosis?

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