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Alkalosis is the result of a process reducing hydrogen ion concentration of arterial blood plasma (alkalemia).In contrast to acidemia (serum pH 7.35 or lower), alkalemia occurs when the serum pH is higher than normal (7.45 or higher).
Metabolic alkalosis is an acid-base disorder in which the pH of tissue is elevated beyond the normal range (7.35–7.45). This is the result of decreased hydrogen ion concentration, leading to increased bicarbonate (HCO − 3), or alternatively a direct result of increased bicarbonate concentrations.
Elevated alkaline phosphatase occurs when levels of alkaline phosphatase (ALP) exceed the reference range. This group of enzymes has a low substrate specificity and catalyzes the hydrolysis of phosphate esters in a basic environment. The major function of alkaline phosphatase is transporting chemicals across cell membranes. [1]
Potassium (K) 3.5, [5] [14] 3.6 [15] 5.0, [5] [14] [15] 5.1: mmol/L or mEq/L [14] See hypokalemia or hyperkalemia: 14 [17] 20 [17] mg/dL Chloride (Cl) 95, [14] 98, [18] 100 [5] 105, [14] 106, [18] 110 [5] mmol/L or mEq/L [14] See hypochloremia or hyperchloremia: 340 [19] 370 [19] mg/dL Ionized calcium (Ca) 1.03, [20] 1.10 [5] 1.23, [20] 1.30 [5 ...
Low potassium is caused by increased excretion of potassium, decreased consumption of potassium rich foods, movement of potassium into the cells, or certain endocrine diseases. [3] Excretion is the most common cause of hypokalemia and can be caused by diuretic use, metabolic acidosis , diabetic ketoacidosis , hyperaldosteronism , and renal ...
Alkaline phosphatase allows for mineralization of calcium and phosphorus by bones and teeth. [21] ALPL gene mutation leads to insufficient TNAP enzyme and allows for an accumulation of chemicals such as inorganic pyrophosphate [ 21 ] to indirectly cause elevated calcium levels in the body and lack of bone calcification.
In sweat glands potassium elimination is quite similar to the kidney; its excretion is also controlled by aldosterone. [medical citation needed] Regulation of serum potassium is a function of intake, appropriate distribution between intracellular and extracellular compartments, and effective bodily excretion.
In any muscle cell, increased intracellular calcium causes contraction. In smooth muscle cells the elevated levels of intracellular calcium cause the opening of BK channels which in turn allow potassium ions to flow out of the cell. This causes further hyperpolarization and closing of voltage gated calcium channels, relaxation can then occur.