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Winters' Formula
Winters' formula, named after Dr. R.W. Winters, is a formula used to evaluate respiratory compensation when analyzing acid-base disorders in the presence of metabolic acidosis. It can be given as: P_ = (1.5 \times HCO_\sgn) + 8 \pm 2, where − is given in units of mEq/L and P will be in units of mmHg. Winters' formula gives an expected value for the patient's P; the patient's actual (measured) P is then compared to this. If the two values correspond, respiratory compensation is considered to be adequate. If the measured P is higher than the calculated value, there is also a primary respiratory acidosis. If the measured P is lower than the calculated value, there is also a primary respiratory alkalosis Respiratory alkalosis is a medical condition in which increased respiration elevates the blood pH beyond the normal range (7.35–7.45) with a concurrent reduction in arterial levels of carbon dioxide. This condition is one of the four primary d .... References R ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Formula
In science, a formula is a concise way of expressing information symbolically, as in a mathematical formula or a '' chemical formula''. The informal use of the term ''formula'' in science refers to the general construct of a relationship between given quantities. The plural of ''formula'' can be either ''formulas'' (from the most common English plural noun form) or, under the influence of scientific Latin, ''formulae'' (from the original Latin). In mathematics In mathematics, a formula generally refers to an identity which equates one mathematical expression to another, with the most important ones being mathematical theorems. Syntactically, a formula (often referred to as a '' well-formed formula'') is an entity which is constructed using the symbols and formation rules of a given logical language. For example, determining the volume of a sphere requires a significant amount of integral calculus or its geometrical analogue, the method of exhaustion. However, ha ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Respiratory Compensation
Respiratory compensation is the modulation by the brainstem respiratory centers, which involves altering alveolar ventilation to try and bring the plasma pH back to its normal value (7.4) in order to keep the acid-base balance in the body. It usually occurs within minutes to hours and is much faster than renal compensation (takes several days), but has less ability to restore normal values. In metabolic acidosis, chemoreceptors sense a deranged acid-base balance with a plasma pH of lesser than normal (7.4). The chemoreceptors send afferent fibers to the brainstem respiratory centers. The brainstem respiratory centers decrease alveolar ventilation (hypoventilation) to create a rise in arterial carbon dioxide () tension, resulting in a decrease of plasma pH. However, as there is limitation for decreasing respiration, respiratory compensation is less efficient at compensating for metabolic alkalosis than for acidosis. The respiratory brainstem centers can only compensate for ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Acid Base Homeostasis
In computer science, ACID ( atomicity, consistency, isolation, durability) is a set of properties of database transactions intended to guarantee data validity despite errors, power failures, and other mishaps. In the context of databases, a sequence of database operations that satisfies the ACID properties (which can be perceived as a single logical operation on the data) is called a ''transaction''. For example, a transfer of funds from one bank account to another, even involving multiple changes such as debiting one account and crediting another, is a single transaction. In 1983, Andreas Reuter and Theo Härder coined the acronym ''ACID'', building on earlier work by Jim Gray who named atomicity, consistency, and durability, but not isolation, when characterizing the transaction concept. These four properties are the major guarantees of the transaction paradigm, which has influenced many aspects of development in database systems. According to Gray and Reuter, the IBM ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Metabolic Acidosis
Metabolic acidosis is a serious electrolyte disorder characterized by an imbalance in the body's acid-base balance. Metabolic acidosis has three main root causes: increased acid production, loss of bicarbonate, and a reduced ability of the kidneys to excrete excess acids. Metabolic acidosis can lead to acidemia, which is defined as arterial blood pH that is lower than 7.35. Acidemia and acidosis are not mutually exclusive – pH and hydrogen ion concentrations also depend on the coexistence of other acid-base disorders; therefore, pH levels in people with metabolic acidosis can range from low to high. Acute metabolic acidosis, lasting from minutes to several days, often occurs during serious illnesses or hospitalizations, and is generally caused when the body produces an excess amount of organic acids ( ketoacids in ketoacidosis, or lactic acid in lactic acidosis). A state of chronic metabolic acidosis, lasting several weeks to years, can be the result of impaired kidney func ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
HCO3-
In inorganic chemistry, bicarbonate (IUPAC-recommended nomenclature: hydrogencarbonate) is an intermediate form in the deprotonation of carbonic acid. It is a polyatomic anion with the chemical formula . Bicarbonate serves a crucial biochemical role in the physiological pH buffering system. The term "bicarbonate" was coined in 1814 by the English chemist William Hyde Wollaston. The name lives on as a trivial name. Chemical properties The bicarbonate ion (hydrogencarbonate ion) is an anion with the empirical formula and a molecular mass of 61.01 daltons; it consists of one central carbon atom surrounded by three oxygen atoms in a trigonal planar arrangement, with a hydrogen atom attached to one of the oxygens. It is isoelectronic with nitric acid . The bicarbonate ion carries a negative one formal charge and is an amphiprotic species which has both acidic and basic properties. It is both the conjugate base of carbonic acid ; and the conjugate acid of , t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Unit Of Measurement
A unit of measurement is a definite magnitude of a quantity, defined and adopted by convention or by law, that is used as a standard for measurement of the same kind of quantity. Any other quantity of that kind can be expressed as a multiple of the unit of measurement. For example, a length is a physical quantity. The metre (symbol m) is a unit of length that represents a definite predetermined length. For instance, when referencing "10 metres" (or 10 m), what is actually meant is 10 times the definite predetermined length called "metre". The definition, agreement, and practical use of units of measurement have played a crucial role in human endeavour from early ages up to the present. A multitude of systems of units used to be very common. Now there is a global standard, the International System of Units (SI), the modern form of the metric system. In trade, weights and measures is often a subject of governmental regulation, to ensure fairness and transparen ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
MEq/L
An equivalent (symbol: officially equiv; unofficially but often Eq) is the amount of a substance that reacts with (or is ''equivalent'' to) an arbitrary amount (typically one mole) of another substance in a given chemical reaction. It is an archaic unit of measurement that was used in chemistry and the biological sciences (see '). The mass of an equivalent is called its equivalent weight. Formula : ''milligrams to = mg x V / MW'' :: Example for elemental compounds: (mg element / elemental compound mass fraction) x V / MV : '' to milligrams = mEq x MW / V'' Common examples mEq to milligram Milligram to mEq Formal definition In a more formal definition, the ''equivalent'' is the amount of a substance needed to do one of the following: * react with or supply one mole of hydrogen ions () in an acid–base reaction * react with or supply one mole of electrons in a redox reaction. The "hydrogen ion" and the "electron" in these examples are respectively called the "rea ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
PCO2
''p''CO2, pCO2, or P_\ceis the partial pressure of carbon dioxide (CO2), often used in reference to blood but also used in meteorology, climate science, oceanography, and limnology to describe the fractional pressure of CO2 as a function of its concentration in gas or dissolved phases. The units of ''p''CO2 are mmHg, atm, torr, Pa, or any other standard unit of atmospheric pressure. The ''p''CO2 of Earth's atmosphere has risen from approximately 280 ppm (parts-per-million) to a mean 2019 value of 409.8 ppm as a result of anthropogenic release of carbon dioxide from fossil fuel burning. This is the highest atmospheric concentration to have existed on Earth for at least the last 800,000 years. Medicine In medicine, the partial pressure of carbon dioxide in arterial blood is called P_ or PaCO2. Measurement of P_ in the systemic circulation indicates the effectiveness of ventilation at the lungs' alveoli, given the diffusing capacity of the gas. It is a good indicator ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Millimetre Of Mercury
A millimetre of mercury is a manometric unit of pressure, formerly defined as the extra pressure generated by a column of mercury one millimetre high, and currently defined as exactly pascals. It is denoted mmHg or mm Hg. Although not an SI unit, the millimetre of mercury is still routinely used in medicine, meteorology, aviation, and many other scientific fields. One millimetre of mercury is approximately 1 Torr, which is of standard atmospheric pressure ( ≈ ). Although the two units are not equal, the relative difference (less than ) is negligible for most practical uses. History For much of human history, the pressure of gases like air was ignored, denied, or taken for granted, but as early as the 6th century BC, Greek philosopher Anaximenes of Miletus claimed that all things are made of air that is simply changed by varying levels of pressure. He could observe water evaporating, changing to a gas, and felt that this applied even to solid matter. Mo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Respiratory Acidosis
Respiratory acidosis is a state in which decreased ventilation (hypoventilation) increases the concentration of carbon dioxide in the blood and decreases the blood's pH (a condition generally called acidosis). Carbon dioxide is produced continuously as the body's cells respire, and this CO2 will accumulate rapidly if the lungs do not adequately expel it through alveolar ventilation. Alveolar hypoventilation thus leads to an increased ''Pa''CO2 (a condition called hypercapnia). The increase in ''Pa''CO2 in turn decreases the HCO3−/''Pa''CO2 ratio and decreases pH. Types Respiratory acidosis can be acute or chronic. * In ''acute respiratory acidosis'', the ''Pa''CO2 is elevated above the upper limit of the reference range (over 6.3 kPa or 45 mm Hg) with an accompanying acidemia (pH 30 mEq/L). Causes Acute Acute respiratory acidosis occurs when an abrupt failure of ventilation occurs. This failure in ventilation may be caused by depression of the central res ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Respiratory Alkalosis
Respiratory alkalosis is a medical condition in which increased respiration elevates the blood pH beyond the normal range (7.35–7.45) with a concurrent reduction in arterial levels of carbon dioxide. This condition is one of the four primary disturbance of acid–base homeostasis. Signs and symptoms Signs and symptoms of respiratory alkalosis are as follows: * Palpitation * Tetany * Convulsion * Sweating Causes Respiratory alkalosis may be produced as a result of the following causes: Mechanism The mechanism of respiratory alkalosis generally occurs when some stimulus makes a person hyperventilate. The increased breathing produces increased alveolar respiration, expelling CO2 from the circulation. This alters the dynamic chemical equilibrium of carbon dioxide in the circulatory system. Circulating hydrogen ions and bicarbonate are shifted through the carbonic acid (H2CO3) intermediate to make more CO2 via the enzyme carbonic anhydrase according to the following react ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Respiratory Therapy
A respiratory therapist is a specialized healthcare practitioner trained in critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical conditions, cardiac and pulmonary disease. Respiratory therapists graduate from a college or university with a degree in respiratory therapy and have passed a national board certifying examination. The NBRC ( National Board for Respiratory Care) is responsible for credentialing as a CRT ( certified respiratory therapist), or RRT ( registered respiratory therapist), The specialty certifications of respiratory therapy include: CPFT and RPFT (Certified or Registered Pulmonary Function Technologist), ACCS (Adult Critical Care Specialist), NPS (Neonatal/Pediatric Specialist), and SDS ( Sleep Disorder Specialist). Respiratory therapists work in hospitals in the intensive care units (Adult, Pediatric, and Neonatal), on hospital floors, in emergency departments, in pulmonary functioning laborator ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
