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Subject:
From:
"Ellen Penchuk, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 27 Oct 2006 14:58:31 -0400
Content-Type:
text/plain
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text/plain (43 lines)
Slightly off topic:

"The SIDS cases showed extreme acidosis, with an average pH of 6.15 
compared with an average of 6.65 among children who died of respiratory 
causes. The SIDS bicarbonate buffer was decreased to an average of 6.31 
mEq/L compared with an average of 15.8 mEq/L among cases of respiratory 
death.

These findings suggest that the brainstem respiratory center may have shut 
down secondary to severe metabolic acidosis, Dr. McGaffey said. "The 
elevation in carbonic acid [averaging 5.24 mEq/L in SIDS cases compared 
with 2.33 mEq/L in cases of respiratory death] suggests that metabolic 
acidosis was the cause of death," she explained. "As our findings 
indicate, respiratory acidosis is associated with lower, not higher, 
carbonic acid." 

Electrolyte levels were also severely imbalanced. Extreme hyperkalemia was 
one of the most striking findings: the SIDS babies had an average 
potassium concentration of 24.4 mEq/L compared with a normal range of 4.1 
to 5.3 mEq/L, according to Dr. McGaffey. They also had hyponatremia, with 
an average sodium level of 127.9 mEq/L compared with a normal range of 139 
to 146 mEq/L; anoxia, as reflected in a lactic acid level of 22.6 mMol/L; 
and the presence of nucleated red blood cells. Elevated uric acid and 
blood urea nitrogen levels suggested early renal failure."

http://www.medscape.com/viewarticle/546429?sssdmh=dm1.220660&src=nldne

Very interesting....hmmmm

Ellen Penchuk, IBCLC, RLC
Beautiful fall day in CT...the calm before the storm.

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