Acid-base interpretation. Part 2: applying five rules to simplify complex cases.

Title

Acid-base interpretation. Part 2: applying five rules to simplify complex cases.

Creator

Rutecki G W; Whittier F C

Publisher

Consultant (00107069)

Date

1998
1998-01

Description

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.

Subject

Female; Male; Aged; Middle Age; Diagnosis; Differential; Rules and Regulations; Acid-Base Imbalance – Diagnosis; Acidosis – Diagnosis; Alkalosis – Diagnosis

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

131–142

Issue

1

Volume

38

Citation

Rutecki G W; Whittier F C, “Acid-base interpretation. Part 2: applying five rules to simplify complex cases.,” NEOMED Bibliography Database, accessed January 25, 2021, https://neomed.omeka.net/items/show/6124.

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