Bicarb and kidneys
[DOC File]Chapter 1 – Title of Chapter
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The bicarb systems are the ones that get heparin infused pre-filter, to try to prevent clotting. If your patient can’t tolerate citrate, bicarb may be the way to go – this may be a liver failure patient, right? – can’t metabolize bicarb? – and so they may do you the favor of anticoagulating your system for you.
[DOC File]CVVH 1/03
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Concerning the kidneys: normal glomerular filtration rate is 250ml/minute. normal renal plasma flow is 125ml/minute. normal filtration fraction is 0.19. blood flow is normally higher in the medulla than the cortex. normal blood volume in the kidneys at any one time is 250ml. Regarding renal handling of substances: urea is filtered, but not secreted
[DOC File]Lecture 2 -- Fluids & Electrolytes, Acids & Bases, and ...
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Bicarbonate is an alkaline compound produced in the body. Its level is controlled by the kidneys in times of acidosis or alkalosis in that the kidneys will either reabsorb more of the bicarbonate in the former situation or excrete more of the bicarb in the latter situation.
[DOC File]Lecture 2 -- Fluids & Electrolytes, Acids & Bases, and ...
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(we did NOT create a new bicarb or excrete an H+); normal bicarb concentration is 24 mmol . Have a med (Diamox®) that inhibits carbonic anhydrase: wouldn’t reabsorb as much sodium, good diuretic but patient ends up acidotic, because getting rid of all bicarb . med used to treat alkalosis - they pee out bicarb and pH is back to normal
[DOC File]Renal - Improving care in ED
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Decrease blood flow in kidneys. Edema and hypertension in at risk patients only. Reports of hepatic dysfunction. EtOH and Steroid use make side effects more pronounced. GI Toxicity. 2 mechanisms. Direct gastric irritation. Decreased gastric protection (Bicarbonate secretion, blood flow, epithelial cell turnover, mucosal immunocyte function)
[DOCX File]Weebly
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Kidneys do what they think is best for body . Kidneys usually excrete H+ because of diet (urine mainly acidic) And consequently making bicarbonate . Davenport diagram: classic working diagram for studying acid-base imbalances . X-axis is pH, Y-axis is bicarb and lines are CO2 isobars . Normal – Bicarb: 24 mM, PCO2: 40 mmHg, pH: 7.4
[DOC File]NSAIDS
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Kidneys can come from deceased donors who have suffered head injury or medical problem in the brain. Patients are normally placed on a waiting list for a deceased donor kidney. ... bicarb. (Pronsky, p291) Fish oil Antihyperlipidemic ↑Bleeding time so caution with Vit K (Pronsky, p234) Renal caps Multi-vitamin Take following dialysis (http ...
Sodium Bicarbonate & Renal Failure | Healthfully
K. (H+ ( ( reabsorption of bicarb ( ( bicarbonate excretion. alkalosis ( ( bicarb excretion ( ( [H+] in extracellular. L. in acidoses, the kidney reabsorb all the filtered bicarbonate and produce new bicarbonate. M. Kidneys regulate extracellular fluid hydrogen ion concentration by: 1. secretion of hydrogen ions. 2.
[DOC File]Answer Guide for Medical Nutrition Therapy: A Case Study ...
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Furosemide causes a net increase in free water excretion by kidneys. However, urinary sodium losses are also increased to an unpredictable degree. If furosemide is used, urinary sodium and water losses must be precisely monitored and replaced appropriately.
RENAL CONTROL OF ACID-BASE BALANCE
Lastly, new bicarb is produced along with the reabsorption of the bicarb to offset the acidosis. The kidneys are continuously filtering . bicarb and either reabsorbing it for later use if there is acidosis or secreting it if there is an alkalosis.
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