Search results
Results From The WOW.Com Content Network
Metabolic alkalosis is an acid-base disorder in which the pH of tissue is elevated beyond the normal range (7.35–7.45). This is the result of decreased hydrogen ion concentration, leading to increased bicarbonate (HCO − 3), or alternatively a direct result of increased bicarbonate concentrations.
Recall that the relationship represented in a Davenport diagram is a relationship between three variables: P CO 2, bicarbonate concentration and pH.Thus, Fig. 7 can be thought of as a topographical map—that is, a two-dimensional representation of a three-dimensional surface—where each isopleth indicates a different partial pressure or “altitude.”
The Henderson–Hasselbalch equation mathematically describes the relationship between blood pH and the components of the bicarbonate buffering system: = + [] [], where pK a ≈ 6.1. In clinical practice, the CO 2 concentration is usually determined via Henry's law from P aCO 2, the CO 2 partial pressure in arterial blood: [] = (/).
Chronic respiratory acidosis: HCO 3 − rises 3.5 mEq/L for each 10 mm Hg rise in PaCO 2. The expected change in pH with respiratory acidosis can be estimated with the following equations: [citation needed] Acute respiratory acidosis: Change in pH = 0.08 X ((40 − PaCO 2)/10) Chronic respiratory acidosis: Change in pH = 0.03 X ((40 − PaCO 2)/10)
This releases hydrogen ions from hemoglobin, increases free H + concentration within RBCs, and shifts the equilibrium towards CO 2 and water formation from bicarbonate. The subsequent decrease in intracellular bicarbonate concentration reverses chloride-bicarbonate exchange: bicarbonate moves into the cell in exchange for chloride moving out.
Diagnosis of contraction alkalosis is made by correlating laboratory data with clinical history and examination. Metabolic alkalosis in the presence of decreased effective circulatory volume, loop diuretic use, or other causes of intravascular depletion such as profound diarrhea should raise suspicion for contraction alkalosis as a likely etiology in the absence of other causes.
Hyperchloremic acidosis is a form of metabolic acidosis associated with a normal anion gap, a decrease in plasma bicarbonate concentration, and an increase in plasma chloride concentration [1] (see anion gap for a fuller explanation).
A woman's breasts grow during pregnancy, typically 1 to 2 cup sizes. [10] A woman who wore a C cup bra prior to her pregnancy may need to buy an F cup or larger bra while nursing. [ 11 ] A woman's torso also grows and her bra band size may increase one or two sizes. [ 12 ]