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Cause acidosis or alkalosis?quizlet
Differentiate between acidosis and alkalosis
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Acid-base Imbalance
Kristine McClary
Kaplan University
There are four conditions that are associated with acid-base imbalance. Disorders that result from changes in the partial pressure of carbon dioxide (PCO2) in systemic arterial blood are respiratory acidosis and respiratory alkalosis (Tortora, 2014). Disorders that results from bicarbonate (HCO3) concentration are metabolic acidosis and metabolic alkalosis. When the lungs cannot remove all of the carbon dioxide the body produces, a condition called respiratory acidosis occur. Respiratory acidosis has high level of PCO2 above 45mmHg and a blood level that drop below a pH of 7.35. Normally when you breathe, you inhale oxygen and exhale CO2. Excess CO2 in your
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This occurs when the systemic arterial blood is above 26mEq/liter and the blood pH is above 7.45 (Tortora, 2014). The cause of metabolic alkalosis is too much bicarbonate in the blood, prolonged vomiting, and extreme lack of potassium. When the regular compensatory mechanisms are not working, respiratory compensation through hypoventilation help bring back pH level to normal leaving HCO3- high. Lung assist in compensatory mechanism. Treating metabolic alkalosis consist of correcting Cl-, K+, and other electrolyte deficiencies by providing fluid solutions. Older age compromises the acid-base balance in metabolic alkalosis due to inadequate fluid intake of more water than Na+ which occur through vomiting, feces, or urine. These changes are associated with the kidney.
References
Healthline (2015). Respiratory Acidosis. Retrieved from http://www.healthline.com/health/respiratory-acidosis#Overview1
Tortora, G. (2014). Principles of Anatomy & Physiology 14 edition, Wiley, Hoboken, NJ
U.S. National Library of Medicine. (2014). Respiratory acidosis. Retrieved from https://www.nlm.nih.gov/medlineplus/ency/article/000092.htm
U.S. National Library of Medicine. (2014). Respiratory alkalosis. Retrieved from https://www.nlm.nih.gov/medlineplus/ency/article/000111.htm O’Connell, K. (2015). Respiratory Alkalosis. Retrieved from
operculum) was reduced to. In a study conducted by A.M. Quetin, electrolyte levels liver toxicity tests and blood sugar levels were shown to be
Metabolic acidosis occurs when the body is producing too much acid, isn't getting rid of enough acid, or doesn't have enough base to buffer the normal amount of acid. Because there are 2 basic ways why metabolic acidosis can occur, the anion gap is analyzed. Observing the anion gap can help determine if the metabolic acidosis is from a lack of buffering or excess of acid. There are several types of metabolic acidosis.
Frequent urination results from the body trying to excrete the excess glucose and thirst follows as dehydration sets in. Hunger, fatigue, mental fogginess, irritability, and mood changes result from a deficiency in ATP as the body cannot produce enough purely through fat metabolism via ketones. Acetone breath quickly follows as the body starts to upregulate fat metabolism in an attempt to use ketones for ATP production. This metabolic pathway creates various ketones, but one ketone acetone, is toxic and is excreted via the lungs. It can be detected as a “fruity” odor in the breath. This upregulation of fat metabolism creates a crisis known as diabetic ketoacidosis which can lead to a coma or even death (Harvey, 2012). Another life threatening acute symptom which is not as common in type 1 as type 2 diabetes is hyperglycemic hyperosmolar nonketonic syndrome or HHNS which can result in serious consequences such as a coma or even death. It is caused by increasing blood sugar and dehydration without the presence of ketones (Harvey, 2012). It can be caused by severe infection, severe illness, and medications that reduce glucose tolerance and increase fluid loss (Harvey, 2012). The various acute symptoms of type 1 diabetes are just as deadly as the long term effects of poor blood sugar
I think you have correctly identified the diagnosis for this patient in having HHS with the symptoms that where present in the scenario. The main difference between DKA and HHS is that the urine contain no ketones. The patient urine is negative for ketones which is a clinical symptom of HHS. “The difference between DKA and HHS is that ketosis and acidosis generally don't occur in HHS, partly because of the different insulin levels"(Hinkle & Cheever, 2014, p.1445). "HHS the insulin level is too low to prevent hyperglycemia and subsequent osmotic diuresis but is high enough to prevent fat breakdown"(Hinkle & Cheever, 2014, p. 1445)."In DKA, no insulin is present and this promotes the breakdown of stored glucose, protein, and fat, which lead to
Respiratory Acidosis and Respiratory Alkalosis is described as the abnormal conditions that come from imbalances in the pH of the blood which is caused by an excess of acid or alkali. Typically, these imbalances can be caused by many underlying conditions and or diseases. Normal blood pH levels in blood must be maintained within a narrow range of 7.35-7.45 to ensure that metabolic process is functioning properly and is producing the correct amount of oxygen to the tissues (Healthline.com, 2012). For both Respiratory Alkalosis and Acidosis the kidneys play a part.
Respiratory acidosis happens when the lungs can’t remove enough of the carbon dioxide produced by the body. Excess CO2 causes the pH of blood and other bodily fluids to decrease, making them too acidic. The body is able to balance the ions that control acidity. This balance is measured on a pH scale from 0 to 14. Acidosis occurs when the pH of the blood falls below 7.35. The normal blood pH level is between 7.35 and 7.45. Respiratory acidosis is typically caused by an underlying disease. The lungs take in oxygen and exhale carbon dioxide. Oxygen passes from the lungs into the blood and carbon dioxide passes from the blood into the lungs. Although, sometimes the lungs can’t remove enough CO2. This may be due to a decrease
The human body needs potassium to function. The body may become short of potassium in many situations. Excessive physical activity, severe cases of stress, drinking of alcohol or coffee all consume the potassium in the body leaving the person with a deficiency of the mineral. As a result of this deficiency severe fatigues, muscle weakness, nervous disorders, cardiac arrest, and poor reflexes can occur. Too much potassium in the body may result in dehydration. The kidneys can retain or get rid of too much potassium. Either extreme is dangerous for the body.
Diabetic Ketoacidosis (DKA) is a serious disease with complications that may have fatal results in some cases. DKA is defined as an insulin deficiency that occurs when glucose fails to enter insulin into muscles such as: liver and adipose tissue. When there is an accumulation of ketones, it leads to metabolic acidosis which causes nausea and vomiting, as a result fluid and electrolytes are loss (Gibbs). There are many complications of diabetic ketoacidosis, some of the most prevalent are: Cerebral Edema, Hypolglycemia, and Acute Pancreatitis.
Diabetic Ketoacidosis (DKA) is a serious disease with complications that may have fatal results in some cases. DKA is defined as an insulin deficiency that occurs when glucose fails to enter insulin into muscles such as: liver and adipose tissue. When there is an accumulation of ketones, it leads to metabolic acidosis which causes nausea and vomiting, as a result fluid and electrolytes are lost (Gibbs). There are many complications of diabetic ketoacidosis, some of the most prevalent are: Cerebral Edema, Hypoglycemia, and Acute Pancreatitis.
Acid-Base balance is the state of equilibrium between proton donors and proton acceptors in the buffering system of the blood that is maintained at approximately pH 7.35 to 7.45 under normal conditions in arterial blood. It is important to regulate chemical balance or homeostasis of body fluids. Acidity or alkalinity has to be regulated. An acid is a substance that lets out hydrogen ions in solution. Strong acid like hydrochloric acid release all or nearly all their hydrogen ions and weak acids like carbonic acid release some hydrogen ions.
Diabetic ketoacidosis also called DKA is a very serious and life threating complication of diabetes in which the body produces excessive blood acids called ketones. This condition occurs when there is not enough insulin in the body which prevents the transport of glucose into the cells for energy. When this happens the glucose then stays in the blood stream instead of entering the cells. The body must have glucose to make energy and every cell in the body needs energy to carry out its most basic tasks, therefore the body begins to breakdown fat and muscle to get its energy source. This causing the production of ketones which stay in the blood stream altering the body’s natural chemical balance sending it into acidosis.
The chemical imbalance theory falls under the biological perspective of psychology. It aims to explain that the causes of mental illness derive from neurotransmitter imbalances. In many cases people tend to treat their mental disorders with medication to attempt to balance their levels of certain chemicals. For example, someone diagnosed with OCD may treat their symptoms with a medication designed to balance the levels of serotonin in their body. There are a few chemicals that are already associated with mental illnesses and those would be monoamines; dopamine, serotonin, norepinephrine. The most common mental onus is associated with the chemical in balance theory would be OCD, depression, and schizophrenia.
An acid base disorder is a change in the normal value of extracellular pH that may result when respiratory function is abnormal or when an acid or base load overwhelms excretory capacity. Acid base status is defined in terms of the plasma pH. The normal pH range level is between 7.35 and 7.45. Acidosis is a condition in which blood pH is below 7.35 and alkalosis is a condition in which blood pH is higher than 7.45. According to James L. Lewis, III, MD, “Acidosis and alkalosis are categorized as metabolic or respiratory, depending on their primary cause. Metabolic acidosis and metabolic alkalosis are caused by an imbalance in the production of acids or bases and their excretion by the kidneys. Respiratory acidosis and respiratory alkalosis are caused primarily by changes in carbon dioxide exhalation due to lung or breathing disorders.”
1. The labels have fallen off of three bottles thought to contain hydrochloric acid, or sodium chloride solution, or sodium hydroxide solution. Describe a simple experiment which would allow you to determine which bottle contains which solution.
Acidity number or acid value is defined as the mass of sodium hydroxide expressed in milligram used to neutralize one gram of acidic substance. This measurement is very important in order to understand the substance’s long term stability and corrosiveness in order to compare the quality of the oil. Fats are converted into fatty acid and glycerol during rancidification and increasing acidity of the sample. More sodium hydroxide is needed to neutralize the acid, and hence acidity number increases. (Peter.J.W, 2007) Therefore, the smaller the acidity number, the higher the quality of the oil. Free fatty acids concentration affects oil recovery and it determines the grade and price of the oil. Rancidification lowers nutritional value