The value for the anion gap tells your healthcare provider something about which other charged particles must be in your blood to make it neutral.This
test gives clues about different types of acidosis, when your blood is too acidic.
It also tells your provider about alkalosis, when your blood is not acidic enough. High anion gap acidoses are most often due to ketoacidosis,lactic acidosis, chronic kidney disease,or certain(toxic ingestions).Normal anion gap acidoses are most often due to gastrointestinal or renal HCO3-loss.((INJECTION 222))
After injection,inhalation,or ingestion,the first symptoms to appear are muscle spasms.They appear very quickly after inhalation or injection within as few as five minutes and take somewhat longer to manifest after ingestion,typically approximately 15 minutes.With a high dose,the onset of respiratory failure and brain death can occur in 15 to 30 minutes.If a lower dose is ingested,other symptoms begin to develop,including seizures,cramping,stiffness,agitation and hypervigilance.Seizures caused by poisoning can start as early as 15 minutes after exposure and last 12–24 hours.They are often other adverse symptoms, including hyperthermia,rhabdomyolysis,myoglobinuric,kidney failure,metabolic acidosis,and respiratory acidosis.As poisoning progresses,tachycardia(rapid heart beat),hypertension(high blood pressure),tachypnea(rapid breathing), cyanosis(blue discoloration),diaphoresis(sweating),water-electrolyte imbalance, leukocytosis(high number of white blood cells),trismus(lockjaw),risus sardonicus (spasm of the facial muscles),and opisthotonus(dramatic spasm of the back muscles,causing arching of the back and neck)can occur.
Note.Chemical Drink,Drugs and Injection Game.
Presenting to the emergency room, patient "BB,"
a dad who swallowed a snow globe carelessly.
Out of ALC, voices crying, "YOLO,"
PO, he took a big gulp of fantasy snow.
NAGI, his stomach churned immediately.
He could hear little elves dancing with a BEG.
Brought to the ER unconscious with HBP,
HAGMA, and tachypnea, unfortunately.
A CT scan revealed a kidney infection.
MDs dispensed an antibiotic injection.
Dialysis was administered, but he was still KO.
His kidney's were decorated in crystals of "snow."
Ten WKs later he could walk again (to the bar),
but will likely need dialysis 4EVR.
You are what you eat, (BB made a recovery)
but don't be a snowflake, the moral of the story.
(Watch the attached video for the full story.)
ALC- alcohol
YOLO- you only live once
PO- by mouth
NAGI- not a good idea
BEG- big evil grin
ER- emergency room
HBP- high blood pressure
HAGMA- high anion gap metabolic acidosis
CT- computerized tomography
MD- medical doctors
KO- knocked out
WK- week
4EVER- forever
3-21-2021
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