Metabolic acidosis critical pathways: Difference between revisions

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==Approach==
==Approach==
{| {{table}}
{|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
| bgcolor=lightyellow |[[Metabolic acidosis physician extender algorithm|Metabolic acidosis physician extender algorithm]]
| BGCOLOR=FLORALWHITE | {{Smallcaps|[[Metabolic acidosis critical pathways|metabolic acidosis critical pathways]]}}
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{| {{table}}
 
| bgcolor=lightyellow |Elevated anion gap?||bgcolor=lightgray |[[High anion gap metabolic acidosis physician extender algorithm|Yes]]||bgcolor=lightgray |[[Normal anion gap metabolic acidosis physician extender algorithm|No]]
{|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
| BGCOLOR=FLORALWHITE STYLE="WIDTH:50%"| Anion gap || BGCOLOR=MEDIUMAQUAMARINE STYLE="WIDTH:16.6%" | [[High anion gap metabolic acidosis critical pathways|High]] || BGCOLOR=LIGHTGRAY STYLE="WIDTH:16.6%" | [[Normal anion gap metabolic acidosis critical pathways|Normal]] || BGCOLOR=LIGHTGRAY STYLE="WIDTH:16.6%" | [[Low anion gap metabolic acidosis critical pathways|Low]]
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==Definition==
==Definition==
* [[Metabolic acidosis]] is a state in which the blood [[pH]] is less than 7.35 due to increased production of H+ by the body or the inability of the body to form [[bicarbonate]] (HCO3-) in the kidney.
* [[Metabolic acidosis]] is a state in which the blood [[pH]] is less than 7.35 due to increased production of H<sup>+</sup> by the body or the inability of the body to form [[bicarbonate]] (HCO3<sup>-</sup>) in the kidney.
* [[Anion gap]] = [Na+] - [Cl-] - [HCO3-]
* [[Anion gap]] = [Na<sup>+</sup>] - [Cl<sup>-</sup>] - [HCO3<sup>-</sup>]
* Normal reference range for anion gap is between 8 and 16 meq/L.<ref name="isbn0-683-18272-2">{{cite book | author = Benjamin Abelow | authorlink = | editor = | others = | title = Understanding acid-base | edition = | language = | publisher = Williams & Wilkins | location = Baltimore | year = 1998 | origyear = | pages = | quote = | isbn = 0-683-18272-2 | oclc = | doi = | url = | accessdate = }}</ref><ref name="isbn1-4160-3105-7">{{cite book | author = Rector, Floyd C.; Brenner, Barry M. | authorlink = | editor = | others = | title = Brenner & Rector's the kidney | edition = | language = | publisher = Saunders Elsevier | location = | year = 2008 | origyear = | pages = | quote = | isbn = 1-4160-3105-7 | oclc = | doi = | url = | accessdate = }}</ref>
* Normal reference range for anion gap is between 8 and 16 meq/L.<ref name="isbn0-683-18272-2">{{cite book | author = Benjamin Abelow | authorlink = | editor = | others = | title = Understanding acid-base | edition = | language = | publisher = Williams & Wilkins | location = Baltimore | year = 1998 | origyear = | pages = | quote = | isbn = 0-683-18272-2 | oclc = | doi = | url = | accessdate = }}</ref><ref name="isbn1-4160-3105-7">{{cite book | author = Rector, Floyd C.; Brenner, Barry M. | authorlink = | editor = | others = | title = Brenner & Rector's the kidney | edition = | language = | publisher = Saunders Elsevier | location = | year = 2008 | origyear = | pages = | quote = | isbn = 1-4160-3105-7 | oclc = | doi = | url = | accessdate = }}</ref>



Revision as of 01:12, 11 August 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Approach

metabolic acidosis critical pathways
Anion gap High Normal Low

Definition

  • Metabolic acidosis is a state in which the blood pH is less than 7.35 due to increased production of H+ by the body or the inability of the body to form bicarbonate (HCO3-) in the kidney.
  • Anion gap = [Na+] - [Cl-] - [HCO3-]
  • Normal reference range for anion gap is between 8 and 16 meq/L.[1][2]

References

  1. Benjamin Abelow (1998). Understanding acid-base. Baltimore: Williams & Wilkins. ISBN 0-683-18272-2.
  2. Rector, Floyd C.; Brenner, Barry M. (2008). Brenner & Rector's the kidney. Saunders Elsevier. ISBN 1-4160-3105-7.


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