MEDICAL ANIMATION TRANSCRIPT: Acid-base balance is the precise maintenance of the hydrogen ion concentration in blood and tissue fluids so the body will function properly. This concentration of hydrogen in body fluids is called pH, and the acidity or alkalinity of the fluid is expressed as a pH value. Normal blood pH ranges from 7.35 to 7.45. Metabolic processes constantly release acids which freely release hydrogen ions resulting in increased acidity and lower blood pH. In response, the body can use chemical buffers such as bases to neutralize the acids and physiological buffers to facilitate their excretion through the kidney. Respiratory acidosis occurs when breathing difficulties allow carbon dioxide to build up in the body. If respiration cannot keep pace with carbon dioxide production, carbon dioxide builds up in the tissues. Excess carbon dioxide combines with water to produce carbonic acid. Carbonic acid disassociates into bicarbonate and hydrogen ions. The build up of hydrogen ions lowers pH and causes acidosis. Metabolic acidosis occurs when metabolic disorders allow certain acids to build up or cause the loss of basic buffers such as bicarbonate. Conditions causing metabolic acidosis can include diabetes and kidney disease, ingestion of acidic drugs such as aspirin or toxins, alcoholism, and chronic diarrhea, resulting in significant bicarbonate loss. Since acidosis is the result of a variety of conditions, treating the underlying condition is the first step. Bicarbonate may be used to treat metabolic acidosis, and oxygenation and ventilation may be used to treat respiratory acidosis. ♪ [music] ♪
"I wanted to thank you for the terrific job you did illustrating my client's
injuries. The case was settled at the pre-suit mediation, and I believe a
good part of the success we had was due to the medical legal art you
Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the
conclusion of mediation, and will be using it to train nurses on how to
prevent bed sores..."
Steven G. Koeppel Troy, Yeslow & Koeppel, P.A. Fort Myers, FL
"Medical Legal Art has always performed quality and efficient work. The
doctors that review the exhibits are always amazed at the precise
descriptions and drawings."
Viles Law Firm, P.A.
Fort Meyers, FL
"We got a defense verdict yesterday! Your exhibit was extremely helpful in
showing the jury how unlikely it is to damage all four of the nerve branches
which control the sense of taste."
Karen M. Talbot
Silverman Bernheim & Vogel, P.C.
"[Your staff] was extremely efficient, cooperative and gracious and [their]
efforts produced a demonstrative exhibit that we used effectively throughout
our trial. The jury verdict of $3,165,000.00 was, in no small measure, due
to the impact of the demonstrative evidence. You may be sure that we will
David J. Dean
Sullivan Papain Block McGrath & Cannavo, P.C.
New York, NY
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
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