Podcasts about Acidosis

En el episodio 117, decidimos hablar de un tema bastante importante, la Acidosis Metabólica. Así que no se pierdan este episodio. RECOMENDACIÓN DE LA SEMANA. Artículo científico: Acidosis metabólica: de principio a fin. Jesús Salvador Sánchez-Díaz,1 Karla Gabriela Peniche-Moguel,1 Enrique Antonio Martínez-Rodríguez,2 Gerardo Rivera-Solís,1 Luis Del Carpio-Orantes,4 Orlando Rubén Pérez-Nieto,5 Eder Iván Zamarrón-López,6 Enrique Monares-Zepeda https://www.medigraphic.com/pdfs/medintmex/mim-202 NOTICIA DE LA SEMANA. https://diarioenfermero.es/los-conflictos-y-el-cambio-climatico-las-principales-amenazas-para-la-salud/

En el episodio 115, decidimos hablar de un tema bastante importante, la Alcalosis Metabólica. Así que no se pierdan este episodio. RECOMENDACIÓN DE LA SEMANA. Entendiendo la Acidosis y la Alcalosis. https://youtu.be/HA7DBS9nX6k?si=ZvYCJaf6694NTRm9 NOTICIA DE LA SEMANA. http://diarioenfermero.es/mensaje-del-cie-a-naciones-unidas/

Herbalist Viola CARES www.verywisealternatives.com Metabolic acidosis occurs when the body produces too much acid or the kidneys can't remove enough acid. It can be caused by a number of conditions, including:  DiabetesWhen blood sugar levels are high and the body produces acidic ketone bodies. This is more common in people with type 1 diabetes.  Kidney diseaseWhen the kidneys can't filter blood properly. This can include kidney stones, chronic kidney problems, or kidney failure.  Lactic acidosisWhen the body produces too much lactic acid, which can happen during intense exercise, heart failure, or sepsis.  DiarrheaWhen the body loses too much sodium bicarbonate, which can be caused by severe diarrhea or taking too many laxatives.  DehydrationWhen the body is severely dehydrated.  ETC ETC there's LOTS MORE

This Real Science Exchange podcast episode was recorded during a webinar from Balchem's Real Science Lecture Series. You can find it at balchem.com/realscience.Feeding behavior of dairy cows is inherently tied to their dry matter intake (DMI) which is tied to milk production. If we want to change a cow's DMI, it must be mediated by changing her feeding behavior. (00:23)In a multi-variable analysis, Dr. DeVries found that DMI was most associated with feeding time and meal frequency. It's important to allow the cow to maximize the amount of time she can spend at the bunk eating, as well as the number of times she can get to the bunk each day. In one study, about 30% of the variability in milk fat content in cows on the same diet was explained by their meal frequency, where cows who had more meals per day had higher milk fat. Dr. DeVries also talks about the impacts of feeding behavior on cow efficiency and rumen dynamics. (2:13)As soon as a cow sorts the TMR put in front of her, she consumes a diet that's variable in composition to what we expect. Cows who sorted against long feed particles had lower milk fat and milk protein concentrations. In another study, Dr. DeVries retrospectively analyzed cows with a low vs high risk of ruminal acidosis. Cows in both groups had similar DMI but a tendency for high-risk cows to have lower milk yield and numerically lower milk fat. Combining these resulted in significantly lower fat-corrected milk for the high-risk cows. Given that the diets and DMI were similar, the difference was attributed to sorting, which can have quite negative impacts on individual and herd-level production. (10:00)Cows spend nearly twice as much time ruminating as they do eating. Rumination reduces feed particle size and increases surface area, leading to increased rates of digestion and feed passage. In a recent study, Dr. DeVries' group calculated the probability that cows were ruminating while lying down using automated monitoring data from previous experiments. Cows with a higher probability of ruminating while lying down had higher DMI, milk fat, and milk protein than cows who ruminated while standing. This highlights that cows need not only time to ruminate but also space for sufficient rest. (16:44)Diets and diet composition should be formulated to encourage frequent meals, discourage sorting, and stimulate rumination. Forage management factors including forage quality, forage quantity, forage type (dry vs ensiled), and particle size all play important roles. In a study with fresh cows, Dr. DeVries' lab fed two different particle sizes of straw: 5-8 cm vs 2-3 cm in length. While DMI was the same over the first 28 days of lactation, cows fed the long straw spent more time with rumen pH below 5.8 because they were sorting against the straw. This also resulted in a yield difference, as the short straw-fed cows produced about 165 pounds more milk over the first 28 days compared to the long straw group. Dr. DeVries also comments on the use of feed additives on rumen stability and feeding behavior (22:54)More frequent feed delivery should generate more consistent consumption and better feeding behavior, and improve rumen health and milk component concentration. Shifting feed delivery away from return from milking, while still ensuring cows have abundant feed available, results in more consistent eating patterns. Dr. DeVries emphasizes that we push up feed to make sure it's present at the bunk, not to stimulate cows to eat. We want to make sure that eating behavior is driven by the cow: when she's hungry and goes to the bunk, we need to make sure feed is there. (30:02)Dr. DeVries indicates we want to minimize the time cows are without feed completely. An empty bunk overnight plus a little overcrowding resulted in negative impacts on rumen health, including more acidosis and reduced fiber digestibility. Increased competition in overcrowding scenarios results in cows having larger meals, eating faster, and likely having a larger negative ruminal impact. In another study, every four inches of increased bunk space was associated with about 0.06% greater milk fat. Herds with high de novo fat synthesis were 10 times more likely to have at least 18 inches of bunk space per cow.  (40:04)In closing, Dr. DeVries' biggest takeaway is that how cows eat is just as important as the nutritional composition of the feed in ensuring cow health, efficiency, and production. Collectively, with good quality feed and good feeding management, we can gain optimal performance from those diets. Dr. DeVries ends by taking questions from the webinar audience. (43:40)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Renal Tubular Acidosis (RTA)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠from the Renal section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

In this episode of the PFC Podcast, Dennis and ICU doctor Doug discuss the intricacies of resuscitation techniques, focusing on the use of freeze-dried plasma (FTP) and its benefits in trauma care. They explore the physiological aspects of trauma, the role of endotheliopathy, and practical applications of FTP in emergency situations. The conversation also touches on the comparison between FTP, whole blood, and albumin, highlighting the challenges and considerations in using these fluids for resuscitation. The episode concludes with a discussion on the future of blood products in trauma care and the importance of making FTP more accessible. Takeaways FTP is a viable alternative to whole blood in trauma resuscitation. Endotheliopathy of trauma can lead to widespread coagulation issues. FTP helps stabilize the vascular endothelium during resuscitation. Whole blood is preferred when available, especially in early resuscitation. Albumin has limited benefits and can dilute clotting factors. FTP has a longer shelf life and is easier to store than whole blood. The physiological effects of trauma require careful consideration in resuscitation. Resuscitation goals should focus on patient stability rather than strict numerical targets. Acidosis can complicate trauma resuscitation and should be monitored closely. Increased access to FTP could improve outcomes in trauma care. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Hello there!In this episode of The Dairy Nutrition Blackbelt Podcast, Dr. Kirby Krogstad, from Ohio State University, explores the impacts of acidosis and systemic inflammation, comparing different acidosis challenge models and examining practical methods for monitoring and reducing acidosis in dairy cattle. Dr. Krogstad shares valuable insights into future research directions, including the importance of maintaining a healthy gut barrier and the implications of long-term high-starch diets. Tune in now!"When thinking of acidosis, always stick to fundamentals: watch your milk fats and manure scores."Meet the guest: Dr. Kirby Krogstad, an Assistant Professor of Dairy Nutrition and Health at Ohio State University, specializes in improving dairy cow health through advanced nutritional strategies. His research focuses on gut physiology and inflammation, exploring how diet affects dairy cattle's immune response and sustainability. Dr. Krogstad has a rich background in dairy science, holding a Ph.D. from Michigan State University and a Master's from the University of Nebraska-Lincoln.Click here to read the full research article.What will you learn: (00:00) Highlight(01:12) Introduction(02:28) Model explanation(04:50) Measuring systemic inflammation(06:26) Monitoring acidosis(06:38) Large intestine acidosis(07:34) Reduce acidosis risk(10:50) Closing thoughtsThe Dairy Nutrition Blackbelt Podcast is trusted and supported by the innovative companies:* Adisseo- Evonik- Volac- Virtus Nutrition

Learn how pyroglutamic acidosis can occur with therapeutic acetaminophen administration in at-risk pediatric patients, resulting in high anion gap metabolic acidosis. For more on nephrology, visit here. 

On this episode of the PTA Elevation Podcast, host Briana Drapp, SPT, PTA, CSCS goes over the important things to know about Metabolic Alkalosis when studying for the NPTE. At the end of this episode, Briana provides and reviews a sample question that helps students get a feel for how this subject will be asked on the NPTE - PTA. Tune in to learn more! Check out our FREE stuff!: https://ptaelevation.com/freebies Website: https://www.ptaelevation.com/ Join our FB group for FREE resources to help you study for the exam!  https://www.facebook.com/groups/382310196801103/ If you're interested in our prep course, check it out here:  https://ptaelevation.com/the-600-plus-system Follow us on our other platforms! https://www.ptaelevation.com/linktree

This podcast will discuss an approach to metabolic acidosis in the pediatric patient, using a case of diabetic ketoacidosis. The podcast was created by Ro Moshkovitz, a third-year medical student at the University of British Columbia, Dr. Irina Simin, a pediatric resident at UBC, and Dr. James Harris, a community pediatrician based in Fraser Health and a clinical associate in the PICU at BC Children's Hospital and NICU at Surrey Memorial Hospital.

Sometimes the hardest part is the waiting. When our team is dispatched to a scene where a man who does not speak English is trapped inside a confined space with possible crush injuries, hypothermia and hyperkalemia, they must wait for him to be extricated. How do you stand that interminable time? How do you stay ready? And then how do you switch from inaction to action once it's time? Our team tackles yet another unique case in this month's episode.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:     Nissa Hattaway, Flight Nurse BA, BSN, RN, CEN, CPEN, CFRN     Justin Brown, Flight Paramedic NREMT-P Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

Hello there!In this episode of The Dairy Nutrition Blackbelt Podcast, Dr. Kirby Krogstad brings fresh insights into integrating health, nutrition, and sustainability in dairy farming. Dr. Krogstad discusses acidosis and systemic inflammation—key areas significantly impacting dairy production. He shares valuable findings from recent research, and practical solutions for managing these conditions effectively. Tune in on major platforms for this deep exploration of dairy health challenges."If acute phase proteins circulate widely, they impact other tissues and the entire animal's biology, emphasizing the significance of managing systemic inflammation comprehensively."Meet the guest: Dr. Kirby Krogstad, an Assistant Professor of Dairy Nutrition and Health at Ohio State University, specializes in improving dairy cow health through advanced nutritional strategies. His research focuses on gut physiology and inflammation, exploring how diet affects dairy cattle's immune response and sustainability. Dr. Krogstad has a rich background in dairy science, holding a Ph.D. from Michigan State University and a Master's from the University of Nebraska-Lincoln.What will you learn: (00:00) Highlight(00:42) Introduction (01:32) Defining systemic inflammation(02:27) Clinical signs of inflammation(03:22) Research models in dairy nutrition(05:26) Starch impact on dairy diets(07:34) Diet consistency and inflammation(08:34) Closing thoughtsThe Dairy Nutrition Blackbelt Podcast is trusted and supported by the innovative companies:* Adisseo- Volac- Virtus Nutrition

Dr. Pregerson takes a different approach to finding the cause of metabolic acidosis or alkalosis, delving into the anion gap and discussing mnemonics that can help you make the diagnosis, only in this month's podcast. Read more in the Show Notes.

In the September episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss management of the acutely agitated patient and metabolic acidosis. As always, you'll hear about the hot topics covered in CDEM's regular features, including a feared complication of cystic fibrosis in Clinical Pediatrics, Morel-Lavallée lesions in Critical Cases in Orthopedics and Trauma, phimosis treatment in The Critical Procedure, headache presentations in the emergency department in the LLSA Literature Review, and a cyanotic infant in The Critical Image.

In this Critical Care Time x Neph Madness colab, Nick & Cyrus host Drs. Tim Yau and Jeff Kott for a comprehensive discussion of metabolic acidosis with a focus on critically ill patients. We start by outlining a pragmatic approach to acid/base derangements peppered with some fact finding and myth busting, CCT style! We then turn our attention to working up and treating metabolic acidosis in the ICU. If you are looking for a one stop shop when it comes to metabolic acidosis in the ICU - look no further. You may even figure out what Spanx & sodium bicarb have in common! Hosted on Acast. See acast.com/privacy for more information.

Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It's NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Time stamps refer to the ad-free version 00:00 Introduction and Guest Bio 07:46 Case Presentation 08:42 Initial Approach to CKD Management 09:10 Metabolic Acidosis in CKD 13:30 Consequences of Metabolic Acidosis 22:28 Administration of Bicarbonate 23:54 Alternative Options for Bicarbonate Repletion 24:47 Citrate and Bicarbonate 26:02 Sodium Bicarbonate for CKD 30:19 Dietary Modifications 33:35 Renal Diet 38:20 Counseling CKD Patients 41:39 Veverimer and Other Treatments 44:36 Mistakes and Pitfalls 46:55 Conclusion Credits Writer and Producer: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Timothy Yau MD Sponsor: Rocket Money  Cancel your unwanted subscriptions by going to RocketMoney.com/CURB Sponsor: Freed You can try Freed for free right now by going to freed.ai And listeners of Curbsiders can use code CURB 50 for $50 off their first month. 

This episode covers renal tubular acidosis.Written notes can be found at https://zerotofinals.com/medicine/renal/renaltubularacidosis/ or in the renal medicine section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.

You may already be familiar with the trauma triad… but in this episode, host Sarah Lorenzini is once again joined by her friend and critical care nurse and educator, Sarah Vance to break down a 4th component to trauma resuscitation. Last week, they discussed the treatment of a trauma patient with neuro and respiratory injuries, but today they're getting into the “blood and guts” of trauma cases as Sarah Vance RN walks us through a multiple gunshot wound case study. Similar to last week's patient, this case study highlights how the body's systems all work together, and sometimes against each other, in trauma cases.Sarah's GSW patient's injuries resulted in massive blood loss, leading to rounds of MTP (massive transfusion protocol), but treating blood loss is more complex than just replacing blood so we're diving into the pathophysiology of hypothermia, coagulopathy, hypocalcemia, and acidosis — all components of the trauma diamond of death.As a nursing educator, Sarah Vance RN is the best person to break down these challenging concepts and make them easy to understand. You'll learn why they happen in trauma cases, how they impact each other, and what you can do to fix these issues and prevent death.By the end of this episode, you'll have the knowledge you need to manage the treatment of a trauma patient with major blood loss. Tune in now!Topics discussed in this episode:Components of the trauma diamond of deathSarah's trauma patient and his treatment MTP, or Massive Transfusion ProtocolWhat causes hypothermia in trauma patientsHow to support coagulopathy and why it's importantHypocalcemia and the role of calcium in the bodyManaging calcium levels in trauma cases Acidosis and its place in the diamond of deathKey lessons from this patient's caseWatch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosConnect with Sarah Vance!Instagram: https://www.instagram.com/iseeu_nurse/TikTok: https://www.tiktok.com/@iseeu_nurseWebsite: https://iseeunurse.com/Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT

CJASN Editor-in-Chief Rajnish Mehrotra interviews 2023 CJASN Trainee of the Year winner Rosa D. Wouda on her article, "Kaliuresis and Intracellular Uptake of Potassium with Potassium Citrate and Potassium Chloride Supplements."

Kirby begins with a description of the mechanism of amylase-enhanced corn. The amylase is located in the kernel and, once activated by temperature change, works to increase the digestibility of the starch. A small amount of activation is thought to occur during silage fermentation, with further activation once it reaches the rumen. This paper evaluated digestibility and milk production in cows fed corn silage made from a hybrid with the amylase-enhanced gene compared to the same hybrid without the genomic enhancement. (4:51)The experiment was designed as a factorial with four treatments combining the two different types of silage with either 25% or 30% starch in the total diet. Only the silage was amylase-enhanced, not the corn grain that was fed. Kirby expected the amylase-enhanced silage group at 25% starch to perform best because he expected some subclinical rumen acidosis and potentially some feed intake issues at the higher dietary starch concentration. (9:09)The experiment was eight weeks long, consisting of a two-week covariate and then a six-week feeding period with 11 cows on each of the four treatments. Blood and milk samples were collected weekly. Total tract digestibility was evaluated twice over those six weeks, once soon after silage harvest (approximately 40 days) and again six weeks later to evaluate whether the impact or efficacy of the enhanced starch enzyme changed over time. (13:29)One surprising result was that the two silages had different in vitro NDF digestibility during week one of the feeding period. The amylase-enhanced silage had higher fiber digestibility even though the genomic enhancement is for starch digestibility. Kirby is unsure of the mechanism but hypothesizes that the amylolytic enzyme may free up some simple sugars or polysaccharides that allow microbes to have greater action and more energy available to digest fiber. By week six, the in vitro NDF digestibility of the two silages was essentially the same (15:09)Kirby mentions that if he could do this experiment again, he would do a longer-term study for 12 or 18 weeks and start feeding the silage as green chop right away to evaluate if ensiling takes away some of the benefits of the amylase-enhancement. (19:02)From the production data, the alpha-amylase enhancement didn't provide a benefit, but a fairly consistent benefit of additional dietary starch was observed, including increased feed efficiency, increased energy-corrected milk, and increased milk protein yield with few to no interactions in these results.Kirby also would like to have some data looking at the impacts of these types of diets on fresh cows since the cows in this experiment averaged 160 days in milk at the start of the feeding period. (24:11)The alpha-amylase-enhanced silage did not impact body weight, body condition, or feed intake. Kirby anticipated that the higher starch-fed cows would experience greater body weight gain in the later lactation period, but he observed the opposite. At the end of the study, an interaction was observed for feed intake where the high starch cows ate a little less - around three pounds. This resulted in a difference in feed efficiency for the high starch cows, where their intake decreased, but they maintained milk production. (25:29)Bill asks if the feed efficiency data was adjusted for the difference in body weight change, but Kirby responds that it was just gross feed efficiency, milk over feed. Bill wonders if that adjustment would make the two groups' feed efficiencies closer together, where it's more of a difference in how nutrients are being partitioned rather than a difference in feed efficiency (27:26)Another follow-up experiment Kirby would like to conduct is another factorial with the enhanced silage variety and the non-enhanced combined with a higher and lower rumen degradable protein concentration. (35:16)Bill wonders if this experiment was conducted with silage at a later maturity, say 40-42% dry matter, would the amylase have a bigger effect? Kirby thinks there is a chance that as the kernel dries down, the amylase may have a greater impact. (38:53)Kirby's take-home messages for the audience are to consider the amylase-enhanced gene as an approach to bridging an inventory challenge gap from year to year and not to avoid dietary starch due to worries about subclinical inflammation. Kirby's paper can be found here: https://www.journalofdairyscience.org/article/S0022-0302(23)00309-0/fulltextPlease subscribe and share with your industry friends to bring more people to join us around the Real Science Exchange virtual pub table.  If you want one of our new Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll get a shirt in the mail to you.

Es una afección en la cual hay demasiado ácido en los líquidos corporales.

We often draw blood gasses looking for an ACIDosis, but what about when you discover an ALKAlosis?In this episode, I share a story of a patient with a history of CHF, admitted for diuresis. She was initially improving but becames lethargic and difficult to arouse. We were surprised when her VBG showed alkalosis instead acidosis. Guest Sarah Lorenzini from the Rapid Response RN podcast, helped me make sense of our finding.Listen in to learn about this rare acid base imbalance that can occur as a result of a very common intervention.Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.Do you need help with your resume, interviewing, or need career coaching? Check out Sarah at New Thing Nurse:Get 15% off of her resume and cover letter templates using the promo code UPMYGAMENursing students and new grad career services Experienced RN career servicesNP career servicesUp My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit.See the show notes at upmynursinggame.com.The key moments in this episode are:00:02:32 - Patient background and presentation00:15:14 - Causes of metabolic alkalosis 00:20:18 - Treatment of diuretic induced metabolic alkalosis, 00:27:12 - Diagnostic reasoning, antibiotic stewardship 

Este pódcast está destinado exclusivamente a profesionales de la salud. Las guías KDIGO (Kidney Disease: Improving Global Outcomes) contienen un conjunto de recomendaciones clínicas con el objetivo principal de mejorar la atención de los pacientes y promover mejores resultados en términos de salud renal y calidad de vida. Las guías KDIGO para enfermedad renal crónica de 2023 son una actualización de las guías de 2012 para la evaluación y el manejo de esta afección. (Importante: se comentan las guías en revisión.) Notas: https://espanol.medscape.com/verarticulo/5911404 Time stamps Introducción… 00:00 Recomendaciones de la semana… 01:00 Guías KDIGO para enfermedad renal crónica 2023… 04:00 Clasificación de la enfermedad renal crónica… 04:30 Riesgo de progresión de la enfermedad renal crónica… 07:00 Retraso en la progresión de la enfermedad renal crónica… 12:00 Inhibidores del cotransportador de sodio-glucosa de tipo 2 (SGLT2)… 17:00 Finerenona… 21:15 Hiperuricemia… 25:05 Acidosis metabólica… 27:00Uso apropiado de fármacos… 29:00

This podcast will be discussing pediatric renal tubular acidosis. The podcast was created by Shadi Sadeghian, a second year medical student at McMaster University. This podcast was created in collaboration with Dr. Charushree Prasad, a pediatric nephrologist and assistant professor at McMaster Children's Hospital.

Does this sound familiar? You've been told to eat right, exercise regularly, and take care of your mental health, but you're still not feeling your best. You're frustrated, tired, and wondering why you're not seeing the results you desire. The truth is, there's an often overlooked factor that could be holding you back: pH balance in your body. You see, chronic low metabolic acidosis, caused by an imbalance in pH levels, can contribute to a myriad of health issues.Dr. Ahmad Nooristani, a passionate advocate for alkalinity in the body, reveals the surprising power of pH balance in preventing disease and improving overall health, as he strives to convince skeptical healthcare professionals to embrace the potential of Balance 7 and challenge the status quo.Key Takeaways:Learn about the essence of pH balance in the body for comprehensive health.Unravel the mystery behind chronic low metabolic acidosis as an underpinning factor for several diseases.Digest the encouraging results when pairing Balance 7 with established cancer therapies.Acknowledge the crucial role of embracing and understanding alternative treatments in our healthcare system.Comprehend the interconnectedness of balanced diet, exercise, and mental robustness for exceptional well-being.Episode Timeline:[00:00:27] - The overlooked factor: pH balance[00:04:28] - Healthcare system complexity[00:09:30] - Efficiency in healthcare[00:12:11] - Operational and personal efficiency[00:18:23] - Chronic low metabolic acidosis[00:19:35] - pH affects health and disease[00:22:31] - Alkalinity and its effects[00:24:20] - Fear and innovation in healthcare[00:29:24] - Anecdotal evidence and side effects[00:33:46] - Efficiency improves patient care[00:34:37] - Integrating alternative medical practices[00:36:33] - Your feedback is essentialLinks and Mentions:Balance 7Listen

Does this sound familiar? You've been told to eat right, exercise regularly, and take care of your mental health, but you're still not feeling your best. You're frustrated, tired, and wondering why you're not seeing the results you desire. The truth is, there's an often overlooked factor that could be holding you back: pH balance in your body. You see, chronic low metabolic acidosis, caused by an imbalance in pH levels, can contribute to a myriad of health issues. Dr. Ahmad Nooristani, a passionate advocate for alkalinity in the body, reveals the surprising power of pH balance in preventing disease and improving overall health, as he strives to convince skeptical healthcare professionals to embrace the potential of Balance 7 and challenge the status quo. Key Takeaways: Learn about the essence of pH balance in the body for comprehensive health. Unravel the mystery behind chronic low metabolic acidosis as an underpinning factor for several diseases. Digest the encouraging results when pairing Balance 7 with established cancer therapies. Acknowledge the crucial role of embracing and understanding alternative treatments in our healthcare system. Comprehend the interconnectedness of balanced diet, exercise, and mental robustness for exceptional well-being. Episode Timeline: [00:00:27] - The overlooked factor: pH balance [00:04:28] - Healthcare system complexity [00:09:30] - Efficiency in healthcare [00:12:11] - Operational and personal efficiency [00:18:23] - Chronic low metabolic acidosis [00:19:35] - pH affects health and disease [00:22:31] - Alkalinity and its effects [00:24:20] - Fear and innovation in healthcare [00:29:24] - Anecdotal evidence and side effects [00:33:46] - Efficiency improves patient care [00:34:37] - Integrating alternative medical practices [00:36:33] - Your feedback is essential Links and Mentions: Balance 7 Listen

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Show notes at pharmacyjoe.com/episode835. In this episode, I'll discuss the results of a pilot trial of sodium bicarbonate for metabolic acidosis in the ICU. The post 835: Results of a Pilot Trial of Sodium Bicarbonate for Metabolic Acidosis in the ICU appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode835. In this episode, I ll discuss the results of a pilot trial of sodium bicarbonate for metabolic acidosis in the ICU. The post 835: Results of a Pilot Trial of Sodium Bicarbonate for Metabolic Acidosis in the ICU appeared first on Pharmacy Joe.

Today's Episode features Rachele Burriesci of All Things Cardiopulm (her podcast can be found on all platforms) who can be found on instagram at @all_things_cardiopulm Rachele will go over ways to understand and remember information about Metabolic/Respiratory Acidosis/Alkalosis and what all the arterial blood gasses exactly mean when it comes to cardiopulmonary rehabilitation on the NPTE. Tune in to learn more! MASTERCLASS REGISTRATION: https://ptaelevation.com/masterclass Book a FREE Strategy Call: https://api.leadconnectorhq.com/widget/booking/StRdkp4sKjX5KHCwV3t9 Website: https://www.ptaelevation.com/ Join our FB group for FREE resources to help you study for the exam! https://www.facebook.com/groups/382310196801103/ If you're interested in our prep course, check it out here: https://ptaelevation.com/the-600-plus-system Follow us on our other platforms! https://www.ptaelevation.com/linktree We look forward to serving you!

RTAs

Download for FREE today -  special Mnemonics Cheatsheet - so you can be SURE that you have that Must Know information down:  bit.ly/nursing-memory   Outline Kick Up, Drop Down K-alKalosis, pH Kicks up D-aciDosis, pH Drops down Description Alkalosis has a K, therefore it is Kicking the pH UP! | Acidosis has a D, therefore it is dropping the pH DOWN!

In this episode, we review the high-yield topic of Renal Tubular Acidosis (RTA) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Renal section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message

Do you struggle with understanding normal and high anion gap metabolic acidosis? This series is exactly what you need. In this first part, I lay the requisite foundation. In the next part, I will focus on examples. This is certainly a super HY topic for all the USMLEs! Audio Download

What is the Acidotic Crisis? We'll touch on exactly what it is, the symptoms to watch out for, and when it happens. Symptoms of Acidosis in the body Symptoms, effects, and remedies Why do we want to reach the Acidotic Crisis for healing during fasting? We'll address the healing mechanisms involved and some dry fasting experiences. What are the symptoms of acidosis in your daily life, that you should be aware of? Some solutions to the problem of daily acidosis A lot of people suffer from consistent acidosis on a daily basis. It's surprising how common this is. Possible consequences with the Acidotic crisis What can happen if it goes wrong? When to break a fast and how to stop the Acidotic crisis effectively? website: https://dryfastingclub.com Discord link: https://discord.gg/yHUhW2Wjc7 Patreon: https://www.patreon.com/dryfastingclub People usually confuse ketosis with ketoacidosis. Fat is oxidized during both ketoacidosis and ketosis, since it creates ketones. Very simply put, ketone production creates acidity. Ketoacidosis usually occurs with diabetics because of low insulin levels. This is a very dangerous situation. Diabetic ketoacidosis basically means that you have a high amount of ketones AND high amounts of sugar circulating in the body. Ketosis, on the other hand, occurs when there's very little sugar circulating in the blood for an extended period of time, which triggers ketone production as well. Both of these create an acidic environment that ramps up. Even though there are probably lots of different mechanisms at play, it seems that the circulating sugar in this situation, is the biggest reason for the danger. Ketosis is viewed as relatively safe, whereas ketoacidosis is dangerous. Ketosis allows the body to create a very good buffer system, where the acid and alkaline environment is very well balanced. The Dry Fasting Club does not provide medical advice. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment before undertaking a new healthcare regimen.

Nano Zeolite Sprayhttps://soreadyforhealth.cosevatrs.com/advanced-trs/Book an online consultationhttps://www.soreadyforhealth.com/My Telegram Channelhttps://t.me/soreadyforhealthMy Shadow-Banned YouTube Channelhttps://www.youtube.com/c/nabilinhoMy Odysee Channelhttps://odysee.com/@NABILINHOSupport the show

It's TIME FAMILY to truly look at HOW ACIDOSIS IS SERIOUSLY AFFECTING THE BODY... Stop H2O --- Support this podcast: https://anchor.fm/verywisealternatives/support

Herbalist Viola Answering Supporters questions Very Wise Alternatives Podcast healing the body from warts, puss bumps, candida, yeast infections, sugars colon issues etc Herpes parasites --- Support this podcast: https://anchor.fm/verywisealternatives/support

Very Wise Alternatives LLC Herbalist Viola Answering Supporters questions about she cares about your health more than you do.

Don't forget to use the #Allensaysthedarndestthings hashtag to tell us when we've made a mistake or you disagree with us in some way, no matter how small. Coder vs. CDI is the industry's first talk show format podcast focused on bringing you interesting and new perspectives on clinical and coding topics. Regularly you'll hear the voices of Allen Frady, Amy Czahor, and Kyle Boyd discussing things that we all think but nobody wants to say out loud. Make sure you listen to our Saturday episodes when Dr. Stark, Physician Advisor Extraordinaire, will answer YOUR questions on clinical and coding topics -  You can submit your questions here.References from the show: Brundage TipMost Current Stat Pearl on Lactic AcidosisAllen's article from 2019Remer Article on acidosis from 2020Elevated Lactate without AcidosisFollow us!- Linkedin- Twitter- Website Support the show

Do you want to grasp ABGs more?  Arterial Blood Gases are tricky! It's one thing to memorize the normal ranges for each value, but an astute clinician is able to see the combination of abnormal values and determine what led to this derangement and what to do about it.In this episode, guest Christian Guzman, Critical Care APRN shares an interesting case of...SPOILER ALERT: Necrotizing FasciitisThe patient's presentation was concerning but not very clear what was going on initially.  But the Nurse's intuition which led to an ABG helped guide the team towards a diagnosis, prompted Christian to upgrade the patient to the ICU, and ultimately led to the patient making a full recovery.If you love nerding out with a deep dive into pathophysiology, then you will love this episode.

Additional content and educational resources at ICUedu.org

REFERENCES: Capone J, Gluncic V, Lukic A, Candido KD. Physiologically Difficult Airway in the Patient with Severe Hypotension and Metabolic Acidosis. Case Rep Anesthesiol. 2020 Sep 4;2020:8821827. doi: 10.1155/2020/8821827. PMID: 32953182; PMCID: PMC7487120. Kim HJ, Son YK, An WS. Effect of sodium bicarbonate administration on mortality in patients with lactic acidosis: a retrospective analysis. PLoS One. 2013 Jun 5;8(6):e65283. doi: 10.1371/journal.pone.0065283. PMID: 23755210; PMCID: PMC3673920. https://www.openanesthesia.org/co2_transport_bicarbonate/ Salim Rezaie, "Critical Care Updates: Resuscitation Sequence Intubation – pH Kills (Part 3 of 3)", REBEL EM blog, October 3, 2016. Available at: https://rebelem.com/critical-care-updates-resuscitation-sequence-intubation-ph-kills-part-3-of-3/.

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

A fairly detailed discussion about acidosis and book discussion: The Road to Serfdom by Hayek.

Looking for more information on this topic? Check out the Metabolic Acidosis and Alkalosis brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/ from our Musculoskeletal, Skin, and Connective Tissue collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.