Doctor insights on:
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
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
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
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
can this be encephalopathy?
Yes: It could be. See your doctor now to find out why. Don't wait for it to get worse. ...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
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
30yr/white/female.glucose105H, gfr 95,wbc11.3,rbc4.06,neut#7.443H 20,000col/cc gram+organisms mucus+1epi cells modH. What cld cause these results?
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
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
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 moreSee 2 more doctor answers
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. ?
Why is there an increase in bicarbonate (sodium bicarbonate) during a chronic respiratory 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