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+--- Thread: pt with chronic liver disease - amith (/showthread.php?tid=125970)
pt with chronic liver disease - amith - ArchivalUser - 10-08-2006
what type of acid base disorder do yu expect........substantiate
0 - ArchivalUser - 10-08-2006
with CLD on expects ammonia to be high therefore hydrogen ions will be buffered.....metabolic alkalosis>correct me if i am wrong
0 - ArchivalUser - 10-08-2006
uw says although many types possible..respiratory alkalosis is MC due to progestrone effect on inc respiration
0 - ArchivalUser - 10-08-2006
sith actually on further reading i came up with two scenarios
uncompensated cirhosissis is what i said-------->Resp alkalosis MC
In hepatic encephalopathy ------->Metabolic alkaosis due to ammonia retentn
0 - ArchivalUser - 10-08-2006
can you guys expl a little more about how retention of causes Res Acidosis. Looking for Mechanism of action. Thanks Guys
0 - ArchivalUser - 10-08-2006
progesterone has a stimulatory effect on respiratiry center and so resultant tachypnea ensues resp alkalosis----------this is in chronic liver disease with alcoholic cirhosisi
But at the same time if there s hepatic encepalopathy with TIPPS done -->ammonia which is a base accumulates causing metabolic alkalosis