muudel põhjustel peale hüpoventilatsiooni, hrl. happeliste ainevahetusproduktide kuhjumisest tingitud atsidoos
acidosis resulting from excess acid due to abnormal metabolism, excessive acid intake, or renal retention or from excessive loss of bicarbonate (as in diarrhea)
a pH imbalance in which the body has accumulated too much acid and does not have enough bicarbonate to effectively neutralize the effects of the acid
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Vt ka kirjet nr 36933 „atsidoos“ [16.10.2020]
There are two primary types of acidosis: respiratory acidosis and metabolic acidosis. ... Metabolic acidosis occurs when acids are produced in the body faster than they are excreted by the kidneys or when the kidneys or intestines excrete excessive amounts of alkali from the body. Causes of metabolic acidosis include uncontrolled diabetes mellitus, shock, certain drugs or poisons, and renal failure, among others.
Kõige enam esinev happe-aluse tasakaalu häire on metaboolne atsidoos, mida klinitsistid peavad olema võimelised ära tundma ning välja selgitama häire taga oleva põhjuse.
Sellest lähtuvalt võib metaboolne atsidoos olla põhjustatud endogeensest happe tootmisest (laktaat, ketohapped), bikarbonaadi kaost (nt diarröa korral) või endogeensete hapete kuhjumisest (nt neerupuudulikkuse korral). Metaboolsele atsidoosile on iseloomulikud seerumi bikarbonaadi kontsentratsiooni vähenemine või aluse liig, vere pH vähenemine (atsideemia) ja sekundaarne (kompensatoorne) arteriaalse vere süsihappegaasi taseme langus.
Severe metabolic acidosis that is left untreated will lead to coma and death.
NEO-LCBI: Laboratory-confirmed BSI - at least two of: temperature > 38 °C or < 36,5 °C or temperature instability, tachycardia or bradycardia, apnoea, extended capillary refilling time (CRT), metabolic acidosis, hyperglycaemia, other sign of BSI such as apathy AND ...
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