Chloride and bicarb kidney
[DOC File]Nutrition in Renal Failure - Stanford Medicine
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Chronic kidney disease is defined as either kidney damage or GFR
[DOC File]Cations – transmit nerve impulses to muscles and contract ...
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Chloride or bicarb), extremely irritating to the GI and intestinal tract so give with glass of fluid, IV K must be diluted in IV fluids, cannot be given as a bolus or push, always must be diluted ... Renin – retains sodium; cells in the kidney release renin in response to low blood pressure causing the kidneys to reabsorb sodium, sodium ...
[DOCX File]Weebly
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The bicarb and the Na+ are reabsorbed in the interstitial fluid. So with 1 glutamate molecule metabolized, there is 2 ammonium ions and 2 bicarb ions, the 2 NH4+ ion are secreted and the biarb is reabsorbed. This is an important way to regenerate bicarb. As a side bar, an example of the ammonia buffer system’s importance.
[DOC File]Describe the biochemical consequences of renal tubular ...
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Normal fractional bicarbonate clearance is 15% and for the other RTAs >10%. Ammonium chloride (NH4Cl) load tests. Short test: NH4Cl is administered orally at a dose of 100mg/kg body weight. Urine is collected hourly, for up to 5 hours for pH measurement.
[DOC File]Lecture 2 -- Fluids & Electrolytes, Acids & Bases, and ...
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~75% of sodium, water, chloride, potassium, etc. reabsorption of highly valuable organic molecules is done via Na-coupled transporters ~100% glucose, amino acids and ~100% of filtered bicarb are reabsorbed. If we don’t want it, we don’t take it back in ~0% of unwanted waste products (e.g. creatinine)
[DOC File]Renal MCQs – Physiology
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20. The ability of the kidney to excrete a concentrated urine will increase if. a. The permeability of the proximal tubule to water decreases. b. The rate of blood flow through the medulla decreases. c. The rate of flow through the Loop of Henle increases. d. The activity of the Na-K pump in the Loop of Henle decreases. e.
[DOC File]PRINCIPLES OF CELLULAR FUNCTION - EmergencyPedia
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decreased red cell size - increased due to chloride shift, and co2 Hb – more water in cell. decreased pH - this one. increased chloride - decreased in plasma – as has shifted into RBCs. decreased HCO3- - increased in plasma – in exchange for Cl in RBCs. How can the pressure be reduced in the femoral vein . skeletal muscle pump action
[DOCX File]jacobiem.org
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Bicarbonate has been shown to be ineffective in the first 1-2 hours in the hyperkalemic pt who does not have significant acidosis . One series showed ,that prolonged bicarb therapy in a constant infusion over 5hrs only lowered the K at 4-6 hrs in mildly acidotic pts and most of the decline in K was from extracellular volume expansion.
[DOCX File]EM Basic | Your Boot Camp Guide to Emergency Medicine
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Bicarb. Pushes K into the cell. Insulin. SAME. Glucose. SAME. Kayex. a. late (polystyrene . sulfonate) Eliminates from the body (causes diarrhea) DIE- Dialysis. Eliminates from the body. Calcium-Calcium gluconate- start with 3 amps IV-Calcium chloride- 3 times more calcium, should be given through central line or good peripheral (18 gague AC ...
[DOC File]BIDMC Provider Order Entry - Order Sets
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50 mEq Sodium Bicarb + 20 mEq Potassium Chl / 1000 mL D5 1/2 NS Continuous at 200 ml/hr between BM/PBPC reinfusions . click to Order . 50 mEq Sodium Bicarb + 20 mEq Potassium Chl / 1000 mL D5 1/2 NS Continuous at 350 ml/hr for 1000 ml over 2-3 hours after last BM/PBPC reinfusion. Then revert back to pre-infusion hydration order.
[DOC File]Renal
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two chloride per sodium are reabsorbed in thick ascending limb. chloride-hydroxide antiport are present in the kidney. Regarding glomerular filtration: the glomerular filtration rate varies les than the renal plasma flow. inulin is stored in the kidney. sialoproteins in the glomerular capillary wall are positively charged
[DOC File]Fluid and Electrolyte Therapy in Children
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The composition of the ECF is what we measure when we obtain a set of electrolytes. The sodium content of the ECF is approximately 140 mEq/l, and the potassium is only 4-5 mEq/l. The predominant anions in the extracellular fluid are chloride and bicarbonate. The composition of the intracellular fluid (ICF) is dramatically different.
[DOC File]Doctorswriting
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21. Regarding water excretion from the kidney. a. Aquaporin 2 – is found in the cells of the thin ascending loop of Henle. b. At lease 67% of filtered water is absorbed – even when urine volume is very high. c. The ascedning limb of the loop of Henle is impermeable to water. d. Approximately 10% of the filtered water enters the distal tubule.
[DOC File]Arterial Blood Gases:
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Chloride Unresponsive Metabolic Alkalosis Urinary Cl- > 20 mEq/l means not chloride-responsive. These alkaloses are rare, and are associated with normal to increased plasma volume. The problem is volume expansion secondary to hyperaldo., severe K+, or severe Cl-, + leading to HCO3- loss; give plenty of K+, treat with large doses of Aldactone ...
[DOCX File]EM-SERC Sim Template
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Cancer metastasis bone (most commonly breast, lung, hematologic, kidney and prostate) Treatment of hypercalcemia Fluids – NS inhibits proximal tubule reabsorption of Ca and will correct volume depletion give bolus initially to stabilize BP then rate ~200-300mL/hr depending on co-morbidities.
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