Metabolic alkalosis feem ntau yog kho los ntawm hloov dej thiab electrolytes (sodium thiab potassium) thaum kho qhov ua rau. Tsis tshua muaj, thaum metabolic alkalosis hnyav heev, dilute acid yog muab tso rau hauv cov hlab ntsha. Hauv kev ua pa alkalosis ua pa alkalosis ua rau yognce hauv pa tus nqi lossis ntim (hyperventilation) lossis ob qho tib si. Ua pa alkalosis tuaj yeem mob hnyav lossis mob ntev. Daim ntawv mob ntev yog asymptomatic, tab sis daim ntawv mob ua rau lub teeb-headedness, tsis meej pem, paresthesias, cramps, thiab syncope. Cov tsos mob muaj xws li hyperpnea lossis tachypnea thiab carpopedal spasms. https://www.merckmanuals.com › ua pa-alkalosis
Respiratory Alkalosis - Endocrine thiab Metabolic Disorders - Merck Manuals
thawj kauj ruam yog xyuas kom tus neeg muaj oxygen txaus.
Koj ua li cas kho cov kab mob metabolic alkalosis?
Metabolic alkalosis kev kho mob siv cov kab mob hauv cov hlab ntsha (IV) kom xa cov kua dej thiab lwm yam tshuaj, xws li:
- Saline infusion.
- Potassium hloov.
- Magnesium hloov.
- YChloride infusion.
- YHydrochloric acid infusion.
- Tsev cov tshuaj uas ua rau mob, piv txwv li koob tshuaj diuretics ntau.
Thaum twg kho metabolic alkalosis?
Metabolic alkalosis raug kho nrog aldosterone antagonist spironolactone lossis nrog lwm cov tshuaj potassium-sparing diuretics (xws li amiloride,triamterene). Yog hais tias qhov ua rau ntawm thawj hyperaldosteronism yog ib qho adrenal adenoma lossis carcinoma, phais tshem tawm cov qog yuav tsum kho qhov alkalosis.
Dab tsi yog qhov ua rau metabolic alkalosis ntau tshaj plaws?
feem ntau ua rau metabolic alkalosis yog siv cov tshuaj diuretics thiab ua rau sab nraud ntawm plab hnyuv.
Yuav ua li cas cov tshuaj kho metabolic alkalosis?
Metabolic Alkalosis Tshuaj: Carbonic Anhydrase Inhibitors, Acids, Potassium-Sparing Diuretics, Angiotensin-Converting Enzyme Inhibitors, Potassium Supplements, Fluid Replacements, Corticosteroids, Nonsteroidal Anti-inflammatory Agents.
43 cov lus nug ntsig txog pom
Hypochloremic metabolic alkalosis kho li cas?
Hloov cov electrolytes nrog chloride ntsev yog hom kev kho tseem ceeb tshaj plaws rau hypochloremic alkalosis. Yuav tsum tau txais kev ntsuas kev noj haus tag nrho, suav nrog kev siv zog, thiab kev siv lub zog txaus kom ntseeg tau los ntawm txoj kev ntawm qhov ncauj lossis nasogastric.
Cov cim qhia ntawm alkalosis yog dab tsi?
Cov tsos mob ntawm alkalosis tuaj yeem suav nrog ib qho ntawm cov hauv qab no:
- Tsis meej pem (tuaj yeem mus rau stupor lossis coma)
- Tes tshee.
- Nyob zoo ib tsoom phooj ywg.
- Muscle twitching.
- Ntaus, ntuav.
- loog lossis tingling ntawm lub ntsej muag, tes, lossis ko taw.
- Nyob rau hauv cov leeg nqaij spasms (tetany)
Cov xwm txheej twg tuaj yeem ua rau metabolic alkalosis?
Metabolic alkalosis yog thawj qhov nce hauv bicarbonate (HCO 3- ) nrog lossis tsis muajkev them nyiaj ntxiv ntawm cov pa roj carbon dioxide ib nrab siab (Pco 2); pH tej zaum yuav siab los yog ze li qub. Feem ntau ua rau muaj xws li ntuav ntuav, hypovolemia, siv diuretic, thiab hypokalemia.
Lub cev qhuav dej ua rau metabolic alkalosis li cas?
Chloride-responsive alkalosis tshwm sim los ntawm loss ntawm hydrogen ions, feem ntau yog ntuav lossis lub cev qhuav dej. Chloride-resistant alkalosis tshwm sim thaum koj lub cev khaws cov bicarbonate ntau dhau (alkaline) ions, lossis thaum muaj kev hloov pauv ntawm hydrogen ions los ntawm koj cov ntshav mus rau koj lub hlwb.
Dab tsi ua rau nce qib bicarbonate?
qib siab ntawm bicarbonate hauv koj cov ntshav tuaj yeem yog los ntawm metabolic alkalosis, ib qho mob uas ua rau pH nce hauv cov ntaub so ntswg. Metabolic alkalosis tuaj yeem tshwm sim los ntawm kev poob kua qaub ntawm koj lub cev, xws li ntuav thiab lub cev qhuav dej.
Puas omeprazole ua rau metabolic alkalosis?
Alkalinizing cov neeg ua haujlwm (tseem siv rau omeprazole / sodium bicarbonate) acid / base balance. Alkalinizing neeg ua hauj lwm ua raws li proton txais thiab / los yog dissociate muab bicarbonate ions. Kev tshem tawm ntawm bicarbonate txo qis hauv cov neeg mob lub raum tsis zoo thiab tuaj yeem ua rau metabolic alkalosis.
Kuv yuav txo cov bicarbonate li cas?
YMetabolic acidosis
- Nyob hydrated. Haus dej kom ntau thiab lwm yam kua.
- Cia li tswj koj cov ntshav qab zib. Yog tias koj tswj hwm koj cov ntshav qab zib kom zoo, koj tuaj yeem zam ketoacidosis.
- Cia li haus cawv. Kev haus dej tsis tu ncua tuaj yeem ua rau muaj lactic acid ntau ntxiv.
koj txhais li casCov kab mob metabolic alkalosis?
Metabolic alkalosis txhais tau tias yog kab mob uas lub cev pH nce siab dua 7.45 theem nrab rau qee cov txheej txheem metabolic. Ua ntej nkag mus rau hauv cov ntsiab lus hais txog pathology thiab cov txheej txheem kab mob no, qee cov ntaub ntawv keeb kwm yav dhau los ntawm cov txheej txheem pH buffering ntawm lub cev yog qhov tseem ceeb.
Koj paub li cas yog tias koj lub cev yog acidic lossis alkaline?
Thaum pH qis dua 6.5, lub cev raug txiav txim siab acidic thiab thaum pH qib siab dua 7.5, lub cev suav tias yog alkaline.
Cov cim qhia ntawm acidosis lossis alkalosis yog dab tsi?
Cov tsos mob ntawm Alkalosis
- kev tsis meej pem.
- Tshaj tawm.
- xav faus.
- Muscle spasms.
- Ntaus.
- Vim.
- loog ntawm koj lub ntsej muag, ko taw, lossis txhais tes
Alkalosis tshwm sim los ntawm dab tsi?
Alkalosis tshwm sim thaum ntshav pH nce siab tshaj 7.45. Nws tuaj yeem yog vim muaj cov kua qaub qis lossis nce hauv paus: Electrolyte cuam tshuam los ntawm, piv txwv li, ntuav ntuav lossis lub cev qhuav dej hnyav. Kev tswj hwm lossis kev siv lub hauv paus.
Lub raum teb li cas rau metabolic alkalosis?
Lub raum tso tawm ntau HCO3 - rau hauv cov zis thaum lub sij hawm metabolic alkalosis. Hypokalemia thiab kaliuresis yog ib qho teeb meem ntawm metabolic alkalosis. Cov neeg mob uas muaj metabolic alkalosis yog predisposed rau plawv arrhythmias.
Yuav ua li cas yog tias koj haus baking soda txhua hnub?
Baking soda muaj sodium, uas, ntau npaum li cas, tuaj yeem cuam tshuam lub plawv. Ib qhov kev tshawb fawb 2016sau tseg tias overdosing ntawm baking soda tau ua rau lub plawv arrhythmias rau qee tus neeg. Tseem muaj cov baking soda overdoses ua rau mob plawv.
Thaum twg kuv yuav tsum hloov bicarbonate?
Kev siv hluav taws xob ntawm kev tswj hwm bicarbonate rau cov neeg mob uas muaj cov kab mob metabolic acidosis hnyav tseem muaj teeb meem. Kev hloov pauv bicarbonate ntev tau pom tseeb rau cov neeg mob uas pheej poob bicarbonate hauv qhov chaw thauj mus los, tshwj xeeb yog cov neeg mob raum tubular acidosis syndromes lossis raws plab.
Koj ua li cas tshem cov bicarbonate ntawm dej?
qauv kev kho yog txo cov dej pH los ntawm kev ntxiv cov kua qaub. Txo cov pH mus rau 6.5 neutralizes txog ib nrab ntawm cov bicarbonate hauv dej. Feem ntau cov kua qaub rau txhaj yog sulfuric acid, phosphoric acid.
Y Yuav ua li cas Diuretics ua rau metabolic alkalosis?
Lub cim ntawm cov kab mob metabolic alkalosis nrog kev kho diuretic feem ntau yog vim kev sib txuas ntawm cov kua dej ntxiv los ntawm cov zis los ntawm cov zis ntawm HCO 3 -dawb dej.
qib siab bicarbonate txhais li cas?
Ib qib bicarbonate uas siab dua lossis qis dua li qub yuav txhais tau tias lub cev muaj teeb meem tswj nws cov kua qaub-puag, los ntawm kev tsis tshem cov pa roj carbon dioxide los ntawm lub ntsws. los yog ob lub raum los yog tej zaum vim yog ib qho electrolyte tsis txaus, tshwj xeeb yog tsis muaj poov tshuaj.
Koj tuaj yeem txo koj cov qib CO2 li cas?
Tib neeg leej twg tau txais kev kho oxygen tsis tu ncua siv lub cuab yeej xa oxygen mus raulub ntsws. Qhov no tuaj yeem pab sib npaug ntawm qib carbon dioxide hauv lawv cov ntshav.
Lub cev qhuav dej puas ua rau muaj CO2 siab?
High CO2 hauv cov ntshav tuaj yeem taw qhia rau: kab mob ntsws xws li COPD, lossis kab mob pulmonary obstructive. Dehydration . Anorexia.
qib tsis zoo ntawm CO2 yog dab tsi?
400–1,000 ppm: qib raug pom nyob rau hauv qhov chaw nyob nrog huab cua zoo. 1,000–2,000 ppm: qib cuam tshuam nrog kev tsis txaus siab ntawm kev qaug zog thiab huab cua tsis zoo. 2, 000–5, 000 ppm: theem cuam tshuam nrog mob taub hau, tsaug zog, thiab nyob twj ywm, stale, cua txias.
