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Topic: Acidosis

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Hypobicarbonatemia

Metabolic acidosis

ABG

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Kussmaul respiration

Diabetic coma

Ureterosigmoidostomy

Hypokalaemia

Ketoacidosis

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Salicylate

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	Lactic acidosis - Wikipedia, the free encyclopedia
		Lactic acidosis is a condition caused by the buildup of lactic acid in the body.
		It leads to acidification of the blood (acidosis), and is considered a distinct form of metabolic acidosis.
		Lactic acidosis may be caused by diabetic ketoacidosis or liver or kidney disease, as well as some forms of medication (most notably metformin).
	en.wikipedia.org /wiki/Lactic_acidosis (174 words)

	metabolic acidosis (Site not responding. Last check: 2007-10-20)
		Metabolic acidosis is a condition in which the acid level within the blood is higher than normal.
		By definition, the condition is not due to breathing problems, which is known as respiratory acidosis.
		Metabolic acidosis may be suspected after a history and physical exam.
	www.northmemorial.com /healthencyclopedia/content/1629.asp (633 words)

	► Acidosis
		Acidosis is a condition characterized by excessive acid in the body fluids.
		Acidosis is caused by an accumulation of acid or a significant loss of bicarbonate.
		Lactic acidosis is an accumulation of lactic acid.
	www.umm.edu /ency/article/001181.htm (317 words)

	Acidosis
		Acidosis is a condition in which body chemistry becomes imbalanced and overly acidic.
		Acidosis occurs when the body loses its alkaline reserve.
		Some causes of acidosis include kidney, liver, and adrenal disorders; improper diet; malnutrition; obesity; ketosis; anger; stress; fear; anorexia; toxemia; fever; and the con-sumption of excessive amounts of niacin, vitamin C, or aspirin.
	www.netritionals.com /ne00095.html (554 words)

	Acidosis -- Facts, Info, and Encyclopedia article (Site not responding. Last check: 2007-10-20)
		(Acidosis resulting from reduced gas exchange in the lungs (as in emphysema or pneumonia); excess carbon dioxide combines with water to form carbonic acid which increases the acidity of the blood) Respiratory acidosis results from a build-up of carbon dioxide in the blood due to (Click link for more info and facts about hypoventilation) hypoventilation.
		Emphysema, chronic (Inflammation of the membranes lining the bronchial tubes) bronchitis, asthma, severe (Respiratory disease characterized by inflammation of the lung parenchyma (excluding the bronchi) with congestion caused by viruses or bacteria or irritants) pneumonia, and aspiration are among the most frequent causes.
		Metabolic acidosis can result in stimulation of (A sensory receptor that responds to chemical stimuli) chemoreceptors and so increase alveolar ventilation, leading to respiratory compensation.
	www.absoluteastronomy.com /encyclopedia/a/ac/acidosis.htm (224 words)

	8.3 Acidosis and Renal Failure
		This is called Renal Tubular Acidosis (RTA) and this is a normal anion gap or hyperchloraemic type of acidosis.
		The acidosis occurring in uraemic patients is due to failure of excretion of acid anions (particularly phosphate and sulphate) because of the decreased number of nephrons.
		Most other forms of metabolic acidosis are of relatively short duration as the patient is either treated with resolution of the disorder or the patient dies.
	www.qldanaesthesia.com /AcidBaseBook/AB8_3.htm (355 words)

	Respiratory acidosis
		Respiratory acidosis is a condition in which a build-up of carbon dioxide in the blood produces a shift in the body's pH balance and causes the body's system to become more acidic.
		Respiratory acidosis is an acid imbalance in the body caused by a problem related to breathing.
		If the acidosis is related to an overdose of narcotics, or a drug overdose is suspected, the patient may be given a dose of naloxone, a drug that will block the respiratory-depressing effects of narcotics.
	www.lifesteps.com /gm/Atoz/ency/respiratory_acidosis.jsp (857 words)

	Metformin and Fatal Lactic Acidosis (Site not responding. Last check: 2007-10-20)
		Ninety percent of metformin is excreted unchanged by the kidneys and lactic acidosis typically occurs in patients with renal insufficiency.
		Significant renal impairment (serum creatinine >0.16 mmol/L) is a contraindication to the use of metformin, and mild renal disease increases the risk of lactic acidosis.
		In situations predisposing to dehydration such as fasting for surgery or contrast radiography, metformin should be ceased at least 48 hours prior to the procedure (or on admission for an emergency procedure), and not restarted until the patient has fully recovered and is eating and drinking normally.
	www.medsafe.govt.nz /Profs/PUarticles/5.htm (663 words)

	MedlinePlus Medical Encyclopedia: Respiratory acidosis
		Respiratory acidosis occurs when the lungs cannot remove all of the carbon dioxide (a normal by-product of metabolism) produced by the body.
		Other conditions that may lead to respiratory acidosis include: obesity hypoventilation syndrome, excessive fatigue of the diaphragm or muscles of the rib cage, or severe deformities of the spine and rib cage (for example, severe scoliosis).
		Respiratory acidosis may be a sign of respiratory failure, with dangerously low blood oxygen levels.
	www.nlm.nih.gov /medlineplus/ency/article/000092.htm (607 words)

	THE MERCK MANUAL--SECOND HOME EDITION, Acidosis in Ch. 159, Acid-Base Balance
		Acidosis is excessive blood acidity caused by an overabundance of acid in the blood or a loss of bicarbonate from the blood (metabolic acidosis), or by a buildup of carbon dioxide in the blood that results from poor lung function or slow breathing (respiratory alkalosis).
		The diagnosis of acidosis generally requires the measurement of blood pH in a sample of arterial blood, usually taken from the radial artery in the wrist.
		When acidosis is severe, bicarbonate may be given intravenously; however, bicarbonate provides only temporary relief and may cause harm—for instance, by overloading the body with sodium and water.
	www.merck.com /mmhe/sec12/ch159/ch159b.html (688 words)

	Department of Neonatal Medicine Protocol Book: acidosis (Site not responding. Last check: 2007-10-20)
		Metabolic acidosis in preterm infants may be associated with hypoxaemia, hypotension or poor tissue perfusion, anaemia, infection or sepsis, or strenuous activity (respiratory distress).
		The incidence of postnatal acidosis has not been documented in the overall population of neonates born at KGV Hospital.
		Whether the acidosis is causative or only associated with acute organ dysfunction and abnormal neurodevelopment is less certain.
	www.cs.nsw.gov.au /rpa/neonatal/html/newprot/acidosis.htm (1238 words)

	► Renal tubular acidosis - proximal
		A condition where the body is in an acidic state caused by abnormal reabsorption of bicarbonate in the proximal tubule of the kidney.
		Proximal renal tubular acidosis (Type II RTA) is a disorder caused by a partial defect in the secretion of hydrogen ions in the proximalrenal tubule.
		Renal tubular acidosis is one cause of metabolic acidosis.
	www.umm.edu /ency/article/000497.htm (593 words)

	DASEES (Site not responding. Last check: 2007-10-20)
		Metabolic acidosis was induced in test cows by feeding a diet that was high in anions for 7 d before the administration of treatment on d 8.
		Rumen acidosis is the number one metabolic disorder diagnosed by the University of Wisconsin Veterinary College.
		Typically acidosis occurs when an unbalanced ration is fed. This usually occurs with the overfeeding of grain or the under feeding of forage.
	www.fass.org /dasees/animalhealth/rumen_acidosis.asp (1332 words)

	Lactic acidosis
		Lactic acidosis is one of several conditions possibly caused by damage to mitochondria.
		Lactic acidosis emerged around the same time as body fat and metabolic changes seen in people on ARV regimens (aka lipodystrophy), and some researchers suggest these conditions may be linked.
		Lactic acidosis is a side-effect of the long term use of the reverse transcriptase inhibitor (RTI) class of HIV drugs (AZT, 3TC, d4T, ddI, and abacavir) because reverse transcriptase and polymerase gamma are similar, and what inhibits one can inhibit the other.
	www.aidsinfonyc.org /tag/tx/lacticacidosis.html (1354 words)

	Causes and consequences of fetal acidosis -- Bobrow and Soothill 80 (3): 246 -- Archives of Disease in Childhood - ...
		Acidosis means a high hydrogen ion concentration in the tissues.
		Acidosis occurs as a result of tissue hypoxia and it is unclear whether the consequences of this process are due primarily
		Umbilical artery Doppler velocimetry as a predictor of fetal hypoxia and acidosis at birth.
	fn.bmjjournals.com /cgi/content/full/80/3/F246 (2451 words)

	The WorldWide Intensivist - Hyperchloraemic acidosis
		Such acidosis may on occasion be due to an overwhelming stress on the kidney (for example, ongoing massive intestinal bicarbonate loss) but is far more likely to be related to impairment of the renal mechanisms themselves.
		Acidosis of this type is often both initiated and perpetuated by renal tubular dysfunction, hence the term "renal tubular acidosis" (RTA).
		RTA excludes people with severe renal dysfunction, where acidosis is often associated with a moderately raised anion gap, and is due to overall renal dysfunction with inability to clear hydrogen ions.
	www.anaesthetist.com /icu/elec/nagacid.htm (2347 words)

	MedlinePlus Medical Encyclopedia: Acidosis
		Diabetic acidosis (also called diabetic ketoacidosis and DKA) develops when ketone bodies accumulate during uncontrolled diabetes.
		Hyperchloremic acidosis results from excessive loss of sodium bicarbonate from the body, as in severe diarrhea, for example.
		Other causes of metabolic acidosis include severe dehydration -- resulting in decreased tissue perfusion (decreased blood flow), kidney disease (see distal renal tubular acidosis and proximal renal tubular acidosis), and other metabolic diseases.
	www.nlm.nih.gov /medlineplus/ency/article/001181.htm (497 words)

	Acidosis, G91-1047-A
		Acidosis is not one disorder, it is a continuum of degrees.
		Effects of acidosis can be as slight as a.25 lb/day feed intake reduction, or as severe as the death of an animal.
		The major response by the animal suffering subacute acidosis is reduced feed intake with an accompanying reduction in performance.
	ianrpubs.unl.edu /animaldisease/g1047.htm (2291 words)

	Acidosis definition - Diabetes Mellitus, Type 2, Type 1, and Metabolic Disorders treatment and medications
		Acidosis: Too much acid in the body, a distinctly abnormal condition resulting from the accumulation of acid or from the depletion of alkaline reserves.
		Acidosis is associated with diabetic ketoacidosis, lung disease, and severe kidney disease.
		The opposite of acidosis is alkalosis in which there is too high a pH due to excess base or insufficient acid in the body.
	www.medterms.com /script/main/art.asp?articlekey=6846 (213 words)

	Metabolic acidosis (Treatment Guide)
		Where toxin-induced metabolic acidosis is a complication of renal failure, haemodialysis may be indicated.
		In most cases of toxin-induced metabolic acidosis, appropriate supportive care including fluid resuscitation, control of seizures, and correction of hypoxia will be associated with resolution of the acidosis.
		LONG-TERM COMPLICATIONS Metabolic acidosis due to poisoning is of itself rarely associated with sequelae.
	www.intox.org /databank/documents/treat/treate/trt34_e.htm (671 words)

	Metabolic acidosis
		She had explo-lap /cholecystectomy a month ago and was intubated prior to surgery because of her acidosis.
		This last 3 days, she has worsening metabolic acidosis, was brought back to OR today for exploration due to increasing abdominal distention but no dead bowels were found, only inflammation and some redness in the bowels and pancreas.
		The metabolic acidosis in your patient may represent 1) hypoperfusion of tissues due to sepsis related to pancreatic inflammation, 2) hypoperfusion due to pancreatic necrosis, or 3) ketoacidosis due to the diabetes.
	www.medhelp.org /forums/gastro/archive/1124.html (258 words)

	Acute and Subacute Ruminal Acidosis
		Acidosis is difficult to measure in cattle and subacute acidosis is an even more insidious problem and more difficult to diagnose.
		Acute acidosis occurs with rapid grain overload and may result in the death of the animal, severe illness, liver abscesses, etc. If these problems are prolonged, the low ruminal pH may result in damage to the ruminal wall and reduced absorption capacity.
		The first step is to recognize acidosis as a potential problem and all of the various factors that may relate to it.
	extension.usu.edu /files/agpubs/acidosis.html (743 words)

	Lactic acidosis (Site not responding. Last check: 2007-10-20)
		Lactic acidosis is a condition caused by the of lactic acid in the body.
		If too much acid stays in the body the balance and the person begins to feel ill. signs of lactic acidosis are deep and breathing vomiting and abdominal pain.
		Lactic acidosis be caused by diabetic ketoacidosis or liver or kidney disease.
	www.freeglossary.com /Lactic_acidosis (293 words)

	HDCN: Review of abstract by Brady et al. Correction of metabolic acidosis and its effect on nutrition in ... (Site not responding. Last check: 2007-10-20)
		Its causes are many, but metabolic acidosis of uremia may contribute by altering amino acid metabolism.
		Additionally, metabolic acidosis may produce nausea and anorexia, contributing to the patients inadequate intake.
		The mean serum albumin of 3.8 does not seem all that low, and I wonder if some of the pts in either group had metabolic acidosis due to high protein intake; studying a more clearly malnourished group might have been more fruitful.
	www.hdcn.com /a6/6asn0788.htm (296 words)

	Respiratory Acidosis/Hypercapnia (Site not responding. Last check: 2007-10-20)
		Transient perioperative metabolic acidosis in a patient with ileal bladder augmentation.
		Evidence that the metabolic acidosis threshold is the anaerobic threshold.
		Lactic acidosis and the elevated anion gap (I).
	www.umdnj.edu /rspthweb/bibs/acidresp.htm (1068 words)

	CHEST: Sodium Bicarbonate for the Treatment of Lactic Acidosis - ) (Site not responding. Last check: 2007-10-20)
		Lactic acidosis often challenges the intensivist and is associated with a strikingly high mortality.
		For example, the lactic acidosis of sepsis is poorly understood but probably cannot be explained simply by tissue hypoxia, at least at the level of the whole body.
		Treatment of lactic acidosis involves discerning and correcting its underlying cause, ensuring adequate oxygen delivery to tissues, reducing oxygen demand through sedation and mechanical ventilation, and (in some ICUs) attempting to alkalinize the blood with IV sodium bicarbonate.
	www.findarticles.com /p/articles/mi_m0984/is_1_117/ai_59210119 (923 words)

	Lactic Acidosis (Site not responding. Last check: 2007-10-20)
		Lactic Acidosis is the buildup of lactic acid in the body.
		The signs of lactic acidosis are deep and rapid breathing, vomiting, and abdominal pain.
		Lactic acidosis may be caused by diabetic ketoacidosis or liver or kidney disease.
	www.paralumun.com /diabeteslactic.htm (69 words)

	eMedicine - Metabolic Acidosis : Article by Karen L Stavile, MD
		Metabolic acidosis with a high AG is associated with the addition of endogenously- or exogenously-generated acids.
		Since metabolic acidosis is a condition that occurs in response to a variety of disease states, the prognosis is directly related to the underlying etiology and the ability to treat or correct that particular disorder.
		Kurtzman NA: Renal tubular acidosis: a constellation of syndromes.
	www.emedicine.com /emerg/topic312.htm (3498 words)

	Chapter Fifteen (Site not responding. Last check: 2007-10-20)
		Acidosis is very dangerous and people can go into a coma or die from it.
		The blood sugar is usually high with large ketones and acidosis because the second and third functions of insulin are not happening.
		Acidosis is the cause of 85% of re-admissions to the hospital for someone with known diabetes.
	www.uchsc.edu /misc/diabetes/udchap15.html (2890 words)

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