Metabolic acidosis and alkalosis.

  title={Metabolic acidosis and alkalosis.},
  author={Jose A. L. Arruda and Neil A. Kurtzman},
  journal={Clinical nephrology},
  volume={7 5},
The factors controlling renal bicarbonate reabsorption and acid excretion under normal conditions and in the presence of metabolic acidosis and alkalosis are reviewed. The methods used to assess distal acidification and its limitations are also discussed. Measurement of urinary pCO2 in maximally alkaline urine (pH greater than 7.8) is a very useful qualitative method to assess distal acidification. The finding of a low urinary pCO2 in maximally alkaline urine indicates a distal acidification… CONTINUE READING


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