Video: Dab tsi ua rau metabolic acidosis thiab alkalosis?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Acidosis thiab alkalosis piav qhia qhov xwm txheej txawv txav uas tshwm sim los ntawm qhov tsis sib xws hauv pH ntawm cov ntshav ua los ntawm ntau tshaj ntawm acid los yog alkali (base). Qhov tsis sib xws no feem ntau ua los ntawm tej yam mob los yog kab mob. Lub ntsws thiab ob lub raum yog lub cev tseem ceeb koom nrog hauv kev tswj ntshav pH.
Xav txog qhov no, dab tsi ua rau metabolic acidosis?
Metabolic acidosis tshwm sim thaum lub cev tsim cov kua qaub ntau dhau.
Nws tuaj yeem tshwm sim los ntawm:
- Cawv.
- Mob qog noj ntshav.
- Qoj ib ce hnyav.
- Mob siab tsis ua hauj lwm.
- Tshuaj, xws li salicylates.
- Ntev tsis muaj oxygen los ntawm kev poob siab, lub plawv tsis ua haujlwm, lossis ntshav tsis txaus.
- Qaug dab peg.
Ib tus kuj tseem yuav nug, cov tshuaj twg ua rau cov metabolism hauv lub cev qhuav dej? Li qub anion kis acidosis yog ua los ntawm carbonic anhydrase inhibitors, hydrochloride ntsev ntawm cov amino acids, toluene, amphotericin, spironolactone thiab tsis-steroidal anti-inflammatory tshuaj . Lub mechanism uas cov tshuaj no tsim metabolic acidosis thiab kev kho mob tau tham.
Tsis tas li ntawd, dab tsi yog qhov feem ntau ua rau metabolic alkalosis?
Metabolic alkalosis yog thawj qhov nce hauv bicarbonate (HCO3−) nrog lossis tsis them nyiaj nce ntxiv hauv cov pa roj carbon dioxide ib nrab siab (Pco2); pH tej zaum yuav siab los yog ze li qub. Feem ntau ua rau muaj xws li ntev ntuav , hypovolemia, siv diuretic, thiab hypokalemia.
Dab tsi yog metabolic acidosis thiab nws cov tsos mob?
Cov tsos mob thiab cov cim Hauv cov mob hnyav xws li xeev siab thiab ntuav, lethargy, thiab hyperpnea. Kev kuaj mob yog kuaj mob thiab nrog cov ntshav ntshav ntshav (ABG) thiab ntsuas ntshav ntshav. Cov raug kho; IV sodium bicarbonate tuaj yeem qhia thaum pH qis heev. (Kuj saib Acid-Base Regulation thiab Acid-Base Disorders.)
Pom zoo:
Dab tsi tuaj yeem ua rau metabolic alkalosis?
Metabolic Alkalosis. Metabolic alkalosis yog thawj qhov nce hauv bicarbonate (HCO3 & rho tawm) nrog lossis tsis tau them nyiaj ntxiv hauv cov pa roj carbon dioxide ib nrab siab (Pco2); pH yuav siab lossis ze li ib txwm. Cov ua rau muaj xws li ntuav ntev, hypovolemia, siv cov tshuaj diuretic, thiab hypokalemia
Kev them nyiaj ua pa rau metabolic acidosis yog dab tsi?
Kev them nyiaj rau kev ua pa yog kev sim khaws cov kua qaub ua cov pa roj carbon dioxide los ntawm kev txo cov pa pa tawm, yog li tiv thaiv kev zom zaub mov alkalosis thiab rov qab pH mus rau qhov qub
Koj puas tuaj yeem muaj metabolic acidosis thiab alkalosis tib lub sijhawm?
Nco ntsoov, tias koj tsis tuaj yeem muaj tus kab mob ua pa acidosis thiab thawj qhov ua pa alkalosis tib lub sijhawm; lub ntsws tuaj yeem tsim tsuas yog ib qho kev cuam tshuam loj. Tab sis koj tuaj yeem muaj thawj cov kab mob metabolic acidosis (xws li kev txuam nrog lactic acid) thiab thawj metabolic alkalosis ( ntuav plab HCl) tib lub sijhawm
Cov tsos mob ntawm acidosis thiab alkalosis yog dab tsi?
Metabolic alkalosis Me acidosis yuav tsis ua rau muaj tsos mob lossis nws tuaj yeem cuam tshuam nrog cov tsos mob tshwj xeeb xws li qaug zog, xeev siab, thiab ntuav. Cov kab mob metabolic acidosis tseem tuaj yeem ua rau nce ntxiv thiab ua pa tob tob, tsis meej pem, thiab mob taub hau, thiab nws tuaj yeem ua rau qaug dab peg, tsis nco qab, thiab qee zaum tuag
Dab tsi yog kev kho mob rau metabolic alkalosis?
Metabolic alkalosis raug kho nrog aldosterone antagonist spironolactone lossis nrog lwm yam tshuaj potassium-sparing diuretics (piv txwv li, amiloride, triamterene). Yog tias qhov ua rau pom thawj hyperaldosteronism yog adrenal adenoma lossis carcinoma, kev phais tshem tawm cov qog yuav tsum kho qhov alkalosis