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40
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Text
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Pages
131–142
Issue
1
Volume
38
Dublin Core
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Title
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Acid-base interpretation. Part 2: applying five rules to simplify complex cases.
Publisher
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Consultant (00107069)
Date
A point or period of time associated with an event in the lifecycle of the resource
1998
1998-01
Subject
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Female; Male; Aged; Middle Age; Diagnosis; Differential; Rules and Regulations; Acid-Base Imbalance – Diagnosis; Acidosis – Diagnosis; Alkalosis – Diagnosis
Creator
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Rutecki G W; Whittier F C
Description
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Thorough investigation of complex cases of acid-base disturbances indudes verification of pH, determination of respiratory and metabolic components, calculation of the anion gap, assessment of the degree of compensation; and analysis of the relationship among anions in the blood. In patients with suspected metabolic alkolosis, use the urinary chloride level to help differentiate between a saline-responsive and saline-resistant condition. In the evaluation of normal union gap metabolic acidemia, urinary electrolytes and the calculation of the urine delta gap may help differentiate between renal and stool biocarbonate wasting. In cases of severe acidemia, knowledge of the patient's serum potassium level is critical to formulation of the appropriate treatment strategy.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1998
Acid-Base Imbalance – Diagnosis
Acidosis – Diagnosis
Aged
Alkalosis – Diagnosis
Consultant (00107069)
Department of Internal Medicine
Diagnosis
Differential
Female
Male
Middle Age
NEOMED College of Medicine
Rules and Regulations
Rutecki G W
Whittier F C