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Date: | Fri, 27 Oct 2006 14:58:31 -0400 |
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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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