Soheil Hosseini’s ‘Acidosis’
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Soheil Hosseini’s ‘Acidosis’
Gonna start some serious studies.
Have to learn some biochemistry, then start on the pending anatomy portions, then finally donsome physiology.
Hopefully, I'll reach my goal today (I guess😅)
Acid-Base Imbalance
Respiratory Acidosis
COPD
Cardiac Arrest
Obstructive airway disease
Paralysis/Polio of respiratory muscles
Drugs : Opiates
Arterial Blood Gases
Respiratory Alkalosis -- increased pH -- decreased PaCO2 -- normal HCO3
Respiratory Acidosis -- decreased pH -- increased PaCO2 -- normal HCO3
Metabolic Alkalosis -- increased pH -- normal PaCO2 -- increased HCO3
Metabolic Acidosis -- decreased pH -- normal PaCO2 -- decreased HCO3
Cancerous tissues are acidic, whereas healthy tissues are alkaline.
Dr. Otto Heinrich Warburg (x)
"That goes per os, not per arse; per os."
-how to treat acute acidosis
Acid-base homeostasis
Normal acid production in body
VOLATILE ACIDS:
Produced by oxidative metabolism of CHO, Fat, Protein
Average 15000-20000 mmol of CO₂ per day
Excreted through LUNGS as CO₂ gas
FIXED ACIDS (1 mEq/kg/day)
Acids that do not leave solution ,once produced they remain in body fluids until eliminated by kidneys
Eg: Sulfuric acid, phosphoric acid
Organic acids
Are most important fixed acids in the body
generated during catabolism of: amino acids(oxidation of sulfhydryl gps of cystine,methionine) Phospholipids (hydrolysis) and nucleic acids
Regulation
Buffers
Moderate changes in pH
Combine with or release H+, cellular proteins, phosphate ions, haemoglobin, or bicarbonate
Lungs
Ventilation = rapid response, corrects 75% of disturbances; can also cause them
Renal regulation
Receptor-mediated endocytosis
Directly by excreting or reabsorbing H+
Indirectly by changing in the rate at which HCO3– buffer is reabsorbed or excreted
Imbalances
Normal pH : 7.35-7.45
Acidosis = abnormally low plasma pH - Acidemia: plasma pH < 7.35
Alkalosis = abnormally high plasma pH - Alkalemia: plasma pH > 7.45
Metabolic acidosis: dietary and metabolic input of H+ exceeds excretion
Metabolic alkalosis: loss of H+ through excessive vomiting or excessive ingestion of bicarbonate-containing antacids
Repository: hyperventilation or hypoventilation cause pH to shift when PCO2 changes