When to initiate bicarb in acidosis
[DOC File]PRINCIPLES OF CELLULAR FUNCTION - EmergencyPedia
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mixed respiratory acidosis, metabolic acidosis - resp acidosis = high CO2. partly compensated metabolic acidosis - compensated by low CO2, bicarb not yet caught up. The following gases are associated with PCO2 45 pH 7.57 HCO3- 30 . acetazolamide treatment - causes NA, Cl, HCO3 loss in urine, therefore acidosis. diuretic use
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Metabolic acidosis in patients with CKD is typically a chronic disease and, as such, requires long-term treatment to mitigate its deleterious consequences. ... The discontinuation rates in the BICARB trial were 25% and 30% at Year 1 in the sodium bicarbonate group and placebo group, respectively, and 47% and 46% at Year 2 in the sodium ...
[DOCX File]Weebly
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The opposite happens when H+ amounts decrease. Under normal conditions, the ammonia buffer system accounts for about 50% of acid secreted and 50% of new bicarb made. With chronic acidosis, the dominant mechanism by which acid is eliminated is the excretion of NH4+, and is the most important mechanism for generating new bicarb.
[DOC File]Fluid and Electrolyte Therapy in Children
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VI. Rational Use of Sodium Bicarbonate in the Treatment of Metabolic Acidosis. Principles of bicarbonate therapy. Do not give as IV push except during CPR. Calculate deficit conservatively as follows: Goal: pH . 7.25. The blood HCO3 concentration needed to achieve this pH rarely exceeds 15 mEq/L if patient is capable of maintaining pCO2 < 35 mmHg.
[DOCX File]Standing Orders for Organ Donors
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Initiate ACLS. Cardiac Catheterization Management. Consult with intensivist and consider pre-treatment if creat > 1.2. 2amps Bicarb/1liter sterile water, run at 300/hr for 1 hr then at 100/hr until liter finished. 600mg Mucomyst via NG q 12hrs x2 doses. Instruct cardiologist to use no more than 60-70 cc of contrast
[DOC File]Final 1.PDF
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Hydrogen Ions (acidosis) Consider sodium bicarb. Hyperkalemia Consider sodium bicarb. Hypothermia Aggressively warm patient. Tension Pneumothorax Chest decompression. Tricyclic Overdose Consider sodium bicarb. 3. Epinephrine (1:10,000) 1 mg IV push or …
[DOC File]CLINICAL PRESENTATION, EVALUATION AND DIAGNOSIS OF …
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Acidosis — In children with ARF, not only is acid excretion impaired, acid production is frequently increased due to underlying co-morbid conditions (shock, sepsis). ... • Adjust bicarb to keep urine pH 7.0-7.5 (alkanize with 30-50 mEq/L NaHCO3) ... Thus, calcitriol deficiency may help initiate secondary hyperparathyroidism even in the ...
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