Acid and bicarb during dialysis
[DOC File]Normal Lab Values
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Diuretic Drugs—organic acid and base secretory systems delivers diuretics into tubular lumen. Carbonic anh. inh. acetazolamide (diamox) High intrinisic activity, in proximal tubule memb, inh Na bicarb reabsorption by inhibiting CA. ( bicarb ( hyperchloremic metab. acidosis, b/c ( NaCl reabsorption downstream. Urine alkaline.
[DOC File]Fluid and Electrolyte Therapy in Children
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Once connected press ok ( only press NaCl if you have run out of acid/bicarb and need to use manual saline to washback). Dialysis ends when clear fluid is detected below the bubble trap. Press continue if more is required and stop the pump using on screen control, clamp venous blood tubing. Disconnect patient then press remove lines button.
[DOC File]december2013.weebly.com
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This fistula serves as a point of insertion for large needles utilized during dialysis. The needle from the artery filters the blood through a dialyzer and returns the blood to the vein (Kraus, Fig 36-4, p816). 7. Explain the rationale for each component of her nutrition therapy Rx. How might this change once she has started peritoneal dialysis?
[DOC File]CLINICAL PRESENTATION, EVALUATION AND DIAGNOSIS OF …
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During the first day, fluid orders should not be written for more than 4-6 hours in advance. Constant re-evaluation of fluid estimates is necessary. Clinical improvement of the patient should occur with rehydration, particularly in regard to general appearance, color, vital …
[DOC File]PHARMACOLOGY BASIC PRINCIPLES
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NS 500mls bolus is started. What medications would you give during the next 5-10 minutes prior and during the intubation? (5 marks) Bicarb. 100mmol iv. Thiopentone. 100-300mg . ivi. or . propofol. 70-140mg . Suxamethonium. 100mg or . rocuromium. 50mg
Pro: Higher serum bicarbonate in dialysis patients is protective | Ne…
Consider dialysis if refractory to medical management. Specific treatments: AIN: stop offending agent, consider steroids ... (1 amp of sodium bicarb ~45 mEq) 5-10 min 1-2 hours K lowering most prominent in metabolic acidosis Insulin and glucose 10 U iv plus D50 1-2 amps (note more than 1 amp may be needed to prevent hypoglycemia) 30 min 4-6 ...
[DOC File]Answer Guide for Medical Nutrition Therapy: A Case Study ...
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normal acid production = 1 mEq acid/kg/day. from 3 major components. breakdown of proteins & nucleic acids ( 20-30 mEq/d of phosphoric and sulfuric acids. stool bicarbonate loss ( 20-30 mEq/d. oxidation of glucose and fats. anaerobic metabolism (muscle) ( lactic acid. fat metabolism ( ketoacids. buffering. H+ + HCO3- ( H2CO3 ( CO2 + H2O. CO2 ...
[DOC File]Nephrology - Stanford University
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Acid-base balance is normally maintained by renal excretion of the daily acid load (~ 1 mEq/kg/day, derived mostly from the generation of sulfuric acid during the metabolism of sulfur-containing amino acids). Elimination of this acid load is achieved by the urinary excretion of hydrogen ions. A metabolic acidosis may therefore ensue with ARF.
[DOC File]Serial No - NHS Wales
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Bicarb. Bicarb is recovered by passive processes. It is very important to acid/base balance. We do not recover 100% of the bicarb. Bicarb is a buffer. 10% of all bicarb remains in urine. It is usually consumed by the acid load. Even the aicd load in urine, would be ore acidic if not for bicarb in the urine.
[DOC File]uterine_ - David Geffen School of Medicine at UCLA
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2) Epithelial cell-cell tight junctions – prevent back-diffusion of pepsin and acid. 3) Bicarb secretion – pH gradient within mucous layer. 4) Blood flow – carries bicarb and nutrients to gastric mucosa. 5) Mucosa – quick regeneration of damage, by migration of cells from gland necks. 6) Mucosal PG’s – for blood flow and bicarb ...
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