Bicarbonate lactic acidosis
[DOC File]Fluid Balance: Water/Electrolyte/Acid-Base:
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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 …
[DOC File]Fluid and Electrolyte Therapy in Children
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actic acidosis = lactate >2.5; most common cause in ED; pure lactic acidosis in only 10% Lactic acid. Type A. Tissue hypoxia / hypoperfusion decr oxidative phosphorylation. Type B. 1. Systemic disorders (eg., leukaemia, lymphoma, thiamine def, pancreatitis, short . bowel syndrome) Incr production: exercise, seizures, trauma
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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 …
[DOCX File]METABOLIC ACIDOSIS
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The “lactic acid” cause of acidosis, termed a “lactic acidosis”, is still being taught in physiology and biochemistry courses throughout the world. Researchers in prestigious international journals are still using “lactic acid” and “lactic acidosis” terminology (e.g., Hagberg, 1985; Juel, 1996, 1998; Katz and Sahlin, 1988 ...
[DOC File]Exercise-Induced Metabolic Acidosis
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There are three causes of metabolic acidosis: The production of fixed or organic acids. The H+ released from the acids will overwhelm the bicarbonate buffer. The pH will decrease. Here are two examples: Lactic acidosis: Too much exercise produces a lot of lactic acid when the muscles rely on anaerobic respiration.
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