This document discusses respiratory disorders and the assessment of respiratory function through arterial blood gas analysis. It covers the basics of respiration including pulmonary ventilation, gas exchange, transport of oxygen and carbon dioxide in the blood, and cellular respiration. It then discusses various lung volumes and capacities, abnormalities in acid-base balance, interpretations of blood gas results, and select respiratory disorders like chronic bronchitis and respiratory distress syndrome. Arterial blood gases provide information about acid-base status, ventilation, oxygenation, and carbon monoxide levels to aid in diagnosis.
Oxygen therapy is an integral part of the treatment of critically ill patients. Maintenance of adequate
oxygen delivery to vital organs often requires the administration of supplemental oxygen,
sometimes at high concentrations. Although oxygen therapy is lifesaving, it may be associated
with deleterious effects when administered for prolonged periods at high concentrations.
essential details on maintenance of extracellular fluid pH, Especially Blood for normal physiological function of the body and condition associated wit acid base imbalance
Acid base balance
Acid base disorder in body
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Patterns Associated with AB Disorders
Oxygen therapy is an integral part of the treatment of critically ill patients. Maintenance of adequate
oxygen delivery to vital organs often requires the administration of supplemental oxygen,
sometimes at high concentrations. Although oxygen therapy is lifesaving, it may be associated
with deleterious effects when administered for prolonged periods at high concentrations.
essential details on maintenance of extracellular fluid pH, Especially Blood for normal physiological function of the body and condition associated wit acid base imbalance
Acid base balance
Acid base disorder in body
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Patterns Associated with AB Disorders
ARTERIAL BLOOD GAS ANALYSIS........pptxAneriPatwari
This power point will help the physiotherapists for arterial blood gas analysis.
This will inform about the acid-base balance in body.
It will also tells about the indications and sites of taking ABG.
it will gives the knowledge on components and compensation of ABG.
it will hive detail information about respiratory acidosis and alkolosis & metabolic acidosis and alkalosis with its reasoning and clinical signs.
ABG test measures the blood gas tension values of the arterial partial pressure of oxygen, and the arterial partial pressure of carbon dioxide, and the blood's pH
For my colleagues and medical students out there who need to either read or present the subject of hypoxia in surgical patients. I hope you find this one helpful.
1- Biochemical and molecular basis of lung diseases .pptMohamed Afifi
Recognize the biochemical structure and function of pulmonary surfactant
Discuss biochemical basis of respiratory distress syndrome
List the differences between collagen and elastin.
Identify the biochemical basis of lung emphysema due to alpha one antitrypsin deficiency.
Outline the biochemical and molecular basis of cystic fibrosis
Mention the diagnosis and treatment of cystic fibrosis
Definition f microorganism
A microorganism, or microbe, is an organism of microscopic size, which may exist in its single-celled form or as a colony of cells
ARTERIAL BLOOD GAS ANALYSIS........pptxAneriPatwari
This power point will help the physiotherapists for arterial blood gas analysis.
This will inform about the acid-base balance in body.
It will also tells about the indications and sites of taking ABG.
it will gives the knowledge on components and compensation of ABG.
it will hive detail information about respiratory acidosis and alkolosis & metabolic acidosis and alkalosis with its reasoning and clinical signs.
ABG test measures the blood gas tension values of the arterial partial pressure of oxygen, and the arterial partial pressure of carbon dioxide, and the blood's pH
For my colleagues and medical students out there who need to either read or present the subject of hypoxia in surgical patients. I hope you find this one helpful.
1- Biochemical and molecular basis of lung diseases .pptMohamed Afifi
Recognize the biochemical structure and function of pulmonary surfactant
Discuss biochemical basis of respiratory distress syndrome
List the differences between collagen and elastin.
Identify the biochemical basis of lung emphysema due to alpha one antitrypsin deficiency.
Outline the biochemical and molecular basis of cystic fibrosis
Mention the diagnosis and treatment of cystic fibrosis
Definition f microorganism
A microorganism, or microbe, is an organism of microscopic size, which may exist in its single-celled form or as a colony of cells
Fate of Absorbed Amino Acids
Absorbed amino acids from diet are mixed with the amino acids produced from
hydrolysis of body protein and those synthesized in the body to form a common
amino acid pool (about 100g). This pool is drawn upon for anabolism and for
catabolism of amino acids.
Anabolic Fate
-These include the synthesis of proteins e.g. tissue, milk, and plasma proteins,
enzymes, and some hormones.
-They also include the synthesis of other nitrogenous substances e.g. glutathione,
adrenaline, thyroxine, melanin, niacin, purines, pyrimidines, aminosugars, and the
nitrogenous bases of phospholipids.
Catabolic Fate
-Most catabolic reactions are preceded by cleavage of the amino acids into ammonia
and the carbon skeleton (usually in the form of an -keto acid).
-The ammonia is mostly converted to urea, which is excreted in urine.
-Little ammonia is also excreted in urine. The carbon skeleton m
Cells of the nervous system: Neurons & Glial cells
▫ Glial cells:
most abundant cells, are of 3 main types
A. Microglia: Phagocytic (immune) cells,
B. Astrocytes: Support & nutrition of the neurons
(provide neurons with lactate from glucose and
regulate the content of ECF by removing K+ &
excess neurotransmitters)
C. Oligodendrocytes: form myelin sheathe in CNS
Schwan cells form myelin sheaths in PNS
Ependymal cells: line brain & spinal cord cavities
using their cilia to allow for the circulation of the
1- metabolism of the brain (I) 2012-13.pdfMohamed Afifi
Cells of the nervous system: Neurons & Glial cells
▫ Neurons:
A neuron is Formed of:
Cell body:
▫ contains most of the cytoplasm & organelles
Cytoplasmic extensions:
▫ include an axon & many dendrites
Overvie
The starting template material is RNA not DNA ( as in PCR assays for the diagnosis of viral infections)
RNA cannot serve as a template for PCR, (RNA is not a substrate for the Taq DNA polymerases commonly utilised in PCR.) Therefore reverse transcription is combined with PCR to convert RNA into a complementary DNA (cDNA)) suitable for PCR
The first step in this procedure is to convert the RNA molecules into single-stranded complementary DNA (cDNA) (Figure 9.20). Once this preliminary step has been carried out, the PCR primers and Taq polymerase are added and the experiment proceeds exactly as in the standard technique
Sanger sequencing: the most popular method first devised by Fred Sanger and colleagues in the mid-1970
DNA to be sequenced serves as a template for DNA synthesis.
A DNA primer is designed to be a starting point for DNA synthesis by DNA polymerase on the strand of DNA to be sequenced.
Four individual DNA synthesis reactions are performed.
The four reactions include normal A, G, C, and T deoxynucleotide triphosphates (dNTPs), and each contains a low level of one of four dideoxynucleotide triphosphates (ddNTPs): ddATP, ddGTP, ddCTP, or ddTTP.
Sanger sequencing: the most popular method first devised by Fred Sanger and colleagues in the mid-1970
DNA to be sequenced serves as a template for DNA synthesis.
A DNA primer is designed to be a starting point for DNA synthesis by DNA polymerase on the strand of DNA to be sequenced.
Four individual DNA synthesis reactions are performed.
The four reactions include normal A, G, C, and T deoxynucleotide triphosphates (dNTPs), and each contains a low level of one of four dideoxynucleotide triphosphates (ddNTPs): ddATP, ddGTP, ddCTP, or ddTTP.Sanger sequencing: the most popular method first devised by Fred Sanger and colleagues in the mid-1970
DNA to be sequenced serves as a template for DNA synthesis.
A DNA primer is designed to be a starting point for DNA synthesis by DNA polymerase on the strand of DNA to be sequenced.
Four individual DNA synthesis reactions are performed.
The four reactions include normal A, G, C, and T deoxynucleotide triphosphates (dNTPs), and each contains a low level of one of four dideoxynucleotide triphosphates (ddNTPs): ddATP, ddGTP, ddCTP, or ddTTP.
Sanger sequencing: the most popular method first devised by Fred Sanger and colleagues in the mid-1970
DNA to be sequenced serves as a template for DNA synthesis.
A DNA primer is designed to be a starting point for DNA synthesis by DNA polymerase on the strand of DNA to be sequenced.
Four individual DNA synthesis reactions are performed.
The four reactions include normal A, G, C, and T deoxynucleotide triphosphates (dNTPs), and each contains a low level of one of four dideoxynucleotide triphosphates (ddNTPs): ddATP, ddGTP, ddCTP, or ddTTP.
The starting template material is RNA not DNA ( as in PCR assays for the diagnosis of viral infections)
RNA cannot serve as a template for PCR, (RNA is not a substrate for the Taq DNA polymerases commonly utilised in PCR.) Therefore reverse transcription is combined with PCR to convert RNA into a complementary DNA (cDNA)) suitable for PCR
The first step in this procedure is to convert the RNA molecules into single-stranded complementary DNA (cDNA) (Figure 9.20). Once this preliminary step has been carried out, the PCR primers and Taq polymerase are added and the experiment proceeds exactly as in the standard technique
The starting template material is RNA not DNA ( as in PCR assays for the diagnosis of viral infections)
RNA cannot serve as a template for PCR, (RNA is not a substrate f
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Care must be taken to preserve protein structure and function after it is removed
from its natural environment where it was stable.
• pH – To prevent denaturation or loss of function, proteins are placed in buffered
solutions at or near their native pH.
• Temperature – Protein purification is normally carried at low temperature ~ 0°C.
while some proteins are thermally stable at high temperatures.
• Inhibition of proteases
• Retardation of microbes that can destroy proteins
Sodium azide is often used
Salting-In: Most globular proteins tend to become
increasingly soluble as the ionic strength is raised due to
the addition of salt. This phenomenon is known as saltingin of proteins.
• Salting-out: As the salt concentration increases, this
lead to diminishment of electrostatic attraction between
protein molecules by the presence of abundant salt ions.
This phenomenon is known as salting-out of proteins.
• The salt concentration at which protein precipitates differs
from one protein to another.
• Salting out is one of the most commonly used protein
purification procedures.
• Ammonium sulfate is the most commonly used reagent
- High solubility (3.9 M in water at 0 ºC)
- High ionic strength solution can be made (up to 23.5 in
water at 0 ºC)
There are four steps of ion-exchange chromatography:
1. Equilibration – stabilization of the ion-exchangers with oppositely
charged ions in the buffer. E.g: Na+Cl2. Sample application and wash (Protein bound to the ion-exchangers
remain attached while other gets removed during wash)
3. Elution – Removal of bound protein from the ion exchangers with the
help of increased concentration of elution buffer.
4. Regeneration – Preparing the ion exchangers for the next round of
protein purification
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Size-Exclusion (or molecular
exclusion) Chromatography
•Molecules are separated
according to differences in their
size as they pass through a
hydrophilic polymer
•Polymer beads composed of
cross-linked dextran (dextrose)
which is highly and uniformly
porous (like Swiss cheese)
•Large proteins come out first
(can’t fit in pores), small proteins
come out last (get stuck in the
por
There are four steps of ion-exchange chromatography:
1. Equilibration – stabilization of the ion-exchangers with oppositely
charged ions in the buffer. E.g: Na+Cl2. Sample application and wash (Protein bound to the ion-exchangers
remain attached while othe
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. 1/19/22 Aaser illustrated Medical Biochemistry 2
INTRODUCTION
Exchange between capillary and body cells.
RESPIRATION
(1) Pulmonary ventilation
(2) External respiration
Respiratory gas transport
(3)
Internal respiration
(4)
Breathing: means
movement of air In and
Out of the body
Oxygen loading and
carbon dioxide loading Transportation of gasesby bloodstream
3. 1/19/22 Aaser illustrated Medical Biochemistry 3
(1) BREATHING (PULMONARY VENTILATION)
(A) Inspiration: Diaphragm flattens creates a vacuum pulling air into the lungs
(B) Expiration: Muscles relax and push air out of the lungs
5. 1/19/22 Aaser illustrated Medical Biochemistry 5
RESPIRATORY VOLUMES AND CAPACITIES
Volume Definition
Tidal Volume (TV) Volume of air moved into and out of the lungs each
breath
Inspiratory reserve
volume (IRV)
Amount of air you can forcibly be taken in
Expiratory reserve volume
(ERV)
Amount of air that can be forcibly expelled
Residual Volume Air that cannot be expelled from the lungs
Vital capacity (VC) Total amount of exchangeable air TV + IRV + ERV
Dead Space volume The amount of air that doesn’t make it to the lungs in
a breath.
Minute volume (MV) The total amount of air exhaled per minute.
6. 1/19/22 Aaser illustrated Medical Biochemistry 6
Functional residual capacity
(FRC). The amount of air left in lungs after exhaling normally.
Total lung capacity The total volume of the lungs when filled with as much
air as possible.
Forced vital capacity (FVC). The amount of air exhaled forcefully and quickly after
inhaling as much as you can.
Forced expiratory volume
(FEV).
The amount of air expired during the first, second, and
third seconds of the FVC test.
Forced expiratory flow (FEF) The average rate of flow during the middle half of the
FVC test.
Peak expiratory flow rate
(PEFR). The fastest rate that you can force air out of your lungs.
(2) EXTERNAL RESPIRATION
7. 1/19/22 Aaser illustrated Medical Biochemistry 7
Gas exchange at the lungs Oxygen into blood
and CO2 removed from blood
(3) GAS TRANSPORT IN THE BLOOD
8. 1/19/22 Aaser illustrated Medical Biochemistry 8
Oxygen forms oxyhemoglobin with hemoglobin molecules.
10. 1/19/22 Aaser illustrated Medical Biochemistry 10
(4) INTERNAL RESPIRATION
Exchange of gases between
blood and tissue cells. Oxygen
unloaded and CO2 loaded.
11. 1/19/22 Aaser illustrated Medical Biochemistry 11
SOME TERMS:
Terms Description
Hypoxia
Inadequate supply of oxygen to the body tissues
Causes skin to become cyanotic
Carbon Monoxide
Poisoning
CO binds to the binding site that oxygen binds to on hemoglobin
preventing gas transport of oxygen
Hyperventilation
Body’s reaction to increased levels of carbon dioxide or acids in
blood.
12. 1/19/22 Aaser illustrated Medical Biochemistry 12
Respiratory terms Eupnea: normal respiratory rate.
Hyperpnea: Increased respiratory rate
(exercising) Apnea: stopped breathing.
Dyspnea: difficult breathing.
Arterial blood gases (ABGs):
Collection and handling of arterial blood gases:
1) The specimen for blood gases and pH should be arterial or arterialized capillary
blood
2) All air bubbles should be removed.
3) Air contamination will reduce the CO2 and increases the O2 in the sample due to
the difference in the PO2 and PCO2 tension of these gases in the atmosphere.
13. 1/19/22 Aaser illustrated Medical Biochemistry 13
4) Use the correct amount of heparin (0.05 mg heparin/ml blood).
5) The specimen must be placed in ice water until analysis or examined
immediately.
Calculations in blood gas analysis:
Given arterial pH and PCO2, the formula to solve for bicarbonate is derived as follows:
pH = 6.1 + log HCO3 /(PCO2 x 0.0301)
For example, calculate HCO3 given pH 7.50 and PCO2 of 30 mm Hg.
7.50 = 6.1 + log [HCO3 /(30 x 0.0301)]
14. 1/19/22 Aaser illustrated Medical Biochemistry 14
7.50 = 6.1 + log (HCO3/0.9)
1.4 = log (HCO3 /0.9) inv. log
1.4 = (HCO3 /0.9)
25 = (HCO3 /0.9)
25 X 0.9 = HCO3 = 23 mmol/L
Venous Versus Arterial Samples:
There are five main evaluations we need to consider in interpreting ABGs in the
clinical setting:
1)Acid-base status
2)Alveolar ventilation
3)Oxygenation status
4)O2 transport
5)Carboxyhemoglobin
15. 1/19/22 Aaser illustrated Medical Biochemistry 15
ACID-BASE STATUS
(1) Metabolic Acid-Base Disturbances:
Metabolic acidosis Metabolic alkalosis
16. 1/19/22 Aaser illustrated Medical Biochemistry 16
Diabetic ketoacidosis Vomiting
Uremia Gastric suction
Renal tubular acidosis Low potassium or chloride level
Lactic acidosis Liver cirrhosis with ascites
GIT loss of HCO3 , fluids
potassium
and Corticoid excess (Mineralocorticoids)
Toxins Massive blood transfusion
Hypertension due to dehydration High doses of alkalis in acidosis
(2) Respiratory Acid-Base Disturbances:
Respiratory acidosis Respiratory alkalosis
Pneumonia Hyperventilation due to high altitudes
Emphysema Fever
17. 1/19/22 Aaser illustrated Medical Biochemistry 17
Asphyxia Salicylates poisoning
Bronchial asthma Encephalitis
Morphine poisoning Hysterical
APPROACH TO INTERPRETING ACID-BASE DISTURBANCE:
In order to interpret acid-base disturbances, the following five factors are considered:
1. pH
2. HCO3–
18. 1/19/22 Aaser illustrated Medical Biochemistry 18
3. PCO2
4. Anion gap
5. Assessment for compensation Ventilation and PCO2 relationship
oVentilation is inversely proportional to the resulting PCO2.
oVentilation increases in response to a drop in plasma and cerebrospinal fluid (CSF)
pH detected by the respiratory center in the medulla.
oLikewise, the kidneys compensate for a primary respiratory defect. The respiratory
systemcan never completely compensate for a metabolic defect, but renal
compensation can almost be complete.
Steps for determination of acid base disturbances:
Steps Interoperation
19. 1/19/22 Aaser illustrated Medical Biochemistry 19
1) Determine if the patient is acidemic
alkalemic, based on pH.
or Normal pH 7.4±0.03
2) The primary disorder is determined
evaluating HCO3– and PCO2
by 1. If HCO3– is elevated and pH is elevated,
there is metabolic alkalosis.
2. If both are decreased, thereis
metabolic acidosis.
3. If HCO3– is within the normal reference
range and PCO2 is elevated but the patient
is acidotic, the condition is respiratory
acidosis.
4. If bicarbonate is within the normal reference
range and PCO2 is decreased but the patient
is alkalotic, the condition is respiratory
alkalosis.
3) Determine the anion gap from the formula
Anion gap= (Na+K)-(Cl+HCO3) or (Na)-(Cl+HCO3)
So anion gap is the difference between cations and
anions in the blood Normal = 10-20 mmol/L and
without K = 6-15 mmol/L
In metabolic acidosis and mixed acid-base
disorders, the anion gap is significantly elevated.
20. 1/19/22 Aaser illustrated Medical Biochemistry 20
4) pH, HCO3–, and PCO2 are considered to
determine if compensation is as expected based
on the typical ratio of 20:1 for bicarbonate to
carbonic acid.
1. both decreased HCO3– and PCO2 should
produce a slightly decreased or nearly normal
pH if they are in metabolic acidosis
compensation.
Steps Interoperation
21. 1/19/22 Aaser illustrated Medical Biochemistry 21
4) pH, HCO3–, and PCO2 are considered to
determine if compensation is as expected based
on the typical ratio of 20:1 for bicarbonate to
carbonic acid. ...........(Continued)
2. To determine the actual ratio of bicarbonate to
carbonic acid, PCO2 is converted to H2CO3
using the relationship PCO2 X0.03 =H2CO3
3. Metabolic acidosis with a normal anion gap
is associated with:
A. renal diseases such as proximal or distal
renal tubular acidosis,
B. Renal insufficiency with HCO3– loss,
C. Hypoaldosteronism with potassium-
sparing diuretics.
D. Other causes include loss of alkali due to
diarrhea or ureterosigmoidostomy or
ingestion of carbonic anhydrase inhibitors,
such as the medications used to treat
glaucoma.
4. Metabolic acidosis with a high anion gap is
generally due to:
A. Addition of acid from ketoacidosis;
B. Lacticacidosis from hypoperfusion or
decreased circulation
C. Toxic ingestions of aspirin, ethylene glycol,
or methanol.
D. Renal insufficiency.
22. 1/19/22 Aaser illustrated Medical Biochemistry 22
Compensation for metabolic acidosis or alkalosis is achieved initially by the
respiratory system. How?!
RESPIRATORY DISORDERS
Disorders Diagnosis
Chronic bronchitis These patients have chronic hypoxia, as indicated
by low SO2 and PO2, and CO2 retention, as
indicated by increased bicarbonate and PCO2.
Fetal Lung Maturity 1. Immature fetal lung resulted from the decrease
in the lung surfactant (phosphatidyl choline,).
2. It occurs to premature babies (< 37 weeks) or
weight < 2500 g.
3. causing decreased oxygenation of the
collapsed alveoli and cyanosis and respiratory
distress in the neonate
Respiratory Distress Syndrome (RDS) The arterial blood gases initially indicate
1.Very low PO2,
2.Normal or low PCO2, and
3.Elevated pH causing respiratory alkalosis.