Bicarb for lactic acidosis
[DOC File]Arterial Blood Gases:
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-if diarrhea is not profound an acidosis can still occur w/o rise in pH. 1. RTA. a) proximal (type 2)-failure to reclaim bicarb. b) distal (classic type 1)-H+ ATPase is damaged = secretory defect. Respiratory Alkalosis (10 defect = ↓↓ pCO2) Metabolic Alkalosis (10 defect = ↑↑ HCO3-) Chloride Responsive (urine Cl
[DOC File]ABG Analysis Handout and Questions
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If (/( = 1, suggests pure gap met acidosis (i.e. lactic acidosis) If (/( 1, suggests underlying metabolic alkalosis in addition to the metabolic acidosis. If AG not elevated, check urine anion gap [Na + K …
[DOC File]Acid-Base Balance and the Anion Gap
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Dec 04, 2007 · ║ Check the bicarb on the SMA-6 and the pCO2 on the gas. pH with ║ ... L- lactic acidosis. Normal Anion Gap (Hyperchloremic) Metabolic Acidoses. divided into high K+ vs. low K+. a. high K+. 1. hyperal and increased amino acid catabolism. 2. post …
[DOC File]University of Kentucky
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lactic acidosis, ketoacidosis, uremia, methanol poisoning. Lactic Acidosis – two types. Type A – more common, tissue hypoperfusion/hypoxia, due to anaerobic metabolism producing lactic acid. Type B – other causes, drugs, hereditary, thiamine deficiency, liver failure, malignancy, D-lactic acidosis . Mixed Acid Base Disorders
[DOC File]Nephrology - Stanford University
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In an acidosis, the kidney first acts to reclaim or reabsorb EVERY single HCO3- molecule because the body needs them to try to neutralize acid, but simply reclaiming HCO3- is NOT enough to correct an acidosis—in addition, the kidney must pump H+ out of the blood into the tubules to be lost in the urine; this pumping out or secretion of acid has the effect of generating new bicarbonate ions;
[DOC File]Fluid and Electrolyte Therapy in Children
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If Acidosis apply the rule of 15 (+/- 2) If Acidosis apply the delta gap (+/- 4) Check the osmolar gap. ... Bicarb too high = metabolic alkalosis. Bicarb too low = Non-gap metabolic acidosis. ... Is the AG a reliable screen for lactic acidosis in the ED? Case#13. 28yo F known asthmatic and 8 …
[DOC File]TREATMENT OF DKA
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-- Treatment: supportive, lavage if early, bicarb for acidosis, folate (necessary for metabolism of formate) -- ETOH therapy – for peak methanol levels >20mg/dl, intake >0.4 ml/kg or 30cc, acidosis, or abnormalities of vision-- 10% ETOH in D5W -- loading dose of 0.6cc/kg over ~30 minutes and infusion at ~1cc/kg/hr to get a level of 100 mg/dl
[DOC File]TOXICOLOGY: HYDROCARBONS, CORROSIVES, GLYCOLS, …
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Do not treat respiratory acidosis with bicarbonate. Remember, proceed cautiously and correct slowly once pH > 7.15. Many with metabolic acidosis have generated large amounts of lactic acid which they will metabolize to bicarbonate once they are rehydrated and given glucose and oxygen.
[DOC File]10-3-07 Potassium & Magnesium Homeostasis
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Need glucose and insulin in order to correct acidosis and ketosis. Stopping the insulin drip but keeping glucose in IV after DKA has resolved. This will make BG extremely high. When the insulin drip is stopped, remove glucose from the IV fluids! Stopping the insulin drip before bicarb is > 16. Glucose normalization does not signify resolution ...
Sodium Bicarbonate Dosage Guide with Precautions
Bicarb gap. 9. Diagnosis of acid-base disorders. Get arterial blood gases and electrolytes at the same time. Compare the HCO3 – value from the blood gases and lytes to verify accuracy. Calculate the anion gap (AG) Review the four common causes of high AG acidosis. ketoacidosis. lactic acidosis…
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