Metabolic acidosis Flashcards
1
Q
What can cause excess H production
A
-Lactic acidosis
-Ketoacidosis
-Ethylene glycol catabolism
-Impaired renal excretion: renal failure, uroperitoneum, distal renal tubular acidosis
2
Q
Causes of excessive loss of HCO3
A
-Diarrhea
-Loss of saliva (ruminants)
-Proximal renal tubular acidosis
3
Q
Titration type
A
Addition of H+ to blood they are then buffered by HCO3
4
Q
Secretory type
A
Loss of HCO3. No increase in anion gap
5
Q
Distal tubular acidosis
A
Impaired secretion of H+ in distal tubule
6
Q
Proximal tubular acidosis
A
Decreased absorption of HCO3 in the prox. tubule
7
Q
Consequences of titration type acidosis
A
Anion gap increases
8
Q
Compensation for metabolic acidosis
A
Increased ventilation to reduce pCO2
9
Q
Characteristics
A
Decreased pH
Increased H+
Decreased HCO3
Compensation: decreased PCO2
