Archive for November, 2009

Fluid and Electrolytes: Balance and Disturbances?

Conrad Jackson is a 28-year-old male who presents to the Emergency Department with severe fatigue and dehydration secondary to a four-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7, pulse of 116, respirations 18, and blood pressure of 86/54. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas. The following results are returned from the laboratory:
Sodium (Na+)150
Potassium (K+) 5.5
Chloride (Cl¯)110
BUN 42
Creatinine 0.8
Glucose 86
pH7.32
PaCO2 35
HCO3¯ 20
PaO2 90
O2 Sat 98%
What is your interpretation of this arterial blood gas sample?Why would the patient have these arterial blood gasses after vomiting? Explain the high potassium? Why .45 NS?

I drink about a quart or more of fresh orange juice a day and some pomelos I love fruit but people tell me I shouldnt drink to much becauce of the rich potassium. How much is to much or enough, can any one tell me, I am a healthy person and I dont have diabetis problems but i dont want to become, friends tell me to much can ruin my kidneys,write back please than you!

Potassium and Bananas?

I have heard bananas help prevent leg cramps, Is it true that to much potassium also gives you leg cramps too? Because when I eat bananas my leg cramps get worse. So I stop eating them.

Will low potassium cause an irregular heartbeat?

And can you take medication to fix the potassium for life? (a continous dose)

my BP is around 140/90 ..the requirement is max 140/90 for the job I am worried that it might just shoot up when i go for the test ..any advice?? and if I take any low dose HBP medications advised by a doctor can they detect that im in HBP medication in a standard blood or urine test?

umm, im 13.
how many calories?
and also, how many are in a banana?

Please any doctor or nurse help me ?

Male 24, I have been really really sick for couple of months. I had all these tests before and well and that time Doctors diagnosed me with chem imbalance depression and Anxiety.

I haven’t taken any SSRI yet as I am not convinced I have depression.

My symptoms include a lot of weakness. no energy in legs, arms and legs get heavy.fatigue, my appetite is craving for sweets and fry foods. I hate waking up in morning and sleep all day and I am up all night. I have withdrawn from everything as I feel to ill in general.

I barely go outside and this has been hapening from past 5 months.

I went to another doctor and she has ordered following tests.

Biochemistry- Glucose, TSH, Creatine, Uric Acid, Sodium, Pottasium, Chloride, CK, ALT, Bilirubin, Albumin, Cholestrol, B12, Ferritin, Urinalysis (Chemeical)

CBC
Other Tests - Si Calcium
Vit D
ESR
CRP

FOBT (Fecal Occult Blood Test)

She want’s to do all these before referring me to Psychiatrist.

Any can these Tests see if there is any Nutrional deficiency, Liver Problem, Kidney Prob, Stomach Problem, or any infection in Blood ?

I went to Cardiologist who performed several tests and said my heart is fine.

Will all these tests give doctor a good indication if I am physically healthy

I am learning about nutrition, for my own interest and benefit. I have a couple of decent books, one with a table of nutritional values of foods.

There are many references to the toxicity of some vitamins and minerals if taken in excess, but nowhere can I find out how much is too much and the symptoms.
Can anyone help, please.

Already know about DASH (Dietary Approach to Stop Hypertension) and the need to exercise regulaly. Seeking other ways of reducing high blood pressure without medication. Any success stories? and How long did it take?

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