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. 1991 Aug;155(2):146–151.

A Practical Approach to Acid-Base Disorders

Richard J Haber
PMCID: PMC1002945  PMID: 1843849

Abstract

This discussion was selected from the weekly staff conferences in the Department of Medicine, University of California, San Francisco. Taken from a transcription, it has been edited by Homer A. Boushey, MD, Professor of Medicine, and Nathan M. Bass, MD, PhD, Associate Professor of Medicine, under the direction of Lloyd H. Smith, Jr, MD, Professor of Medicine and Associate Dean in the School of Medicine.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adrogué H. J., Wilson H., Boyd A. E., 3rd, Suki W. N., Eknoyan G. Plasma acid-base patterns in diabetic ketoacidosis. N Engl J Med. 1982 Dec 23;307(26):1603–1610. doi: 10.1056/NEJM198212233072603. [DOI] [PubMed] [Google Scholar]
  2. Arbus G. S. An in vivo acid-base nomogram for clinical use. Can Med Assoc J. 1973 Aug 18;109(4):291–293. [PMC free article] [PubMed] [Google Scholar]
  3. Assan R., Heuclin C., Girard J. R., LeMaire F., Attali J. R. Phenformin-induced lactic acidosis in diabetic patients. Diabetes. 1975 Sep;24(9):791–800. doi: 10.2337/diab.24.9.791. [DOI] [PubMed] [Google Scholar]
  4. Fulop M., Hoberman H. D. Diabetic ketoacidosis and alcoholic ketosis. Ann Intern Med. 1979 Nov;91(5):796–797. doi: 10.7326/0003-4819-91-5-796_2. [DOI] [PubMed] [Google Scholar]
  5. Fulop M., Horowitz M., Aberman A., Jaffe E. R. Lactic acidosis in pulmonary edema due to left ventricular failure. Ann Intern Med. 1973 Aug;79(2):180–186. doi: 10.7326/0003-4819-79-2-180. [DOI] [PubMed] [Google Scholar]
  6. Gabow P. A., Clay K., Sullivan J. B., Lepoff R. Organic acids in ethylene glycol intoxication. Ann Intern Med. 1986 Jul;105(1):16–20. doi: 10.7326/0003-4819-105-1-16. [DOI] [PubMed] [Google Scholar]
  7. Gabow P. A., Kaehny W. D., Fennessey P. V., Goodman S. I., Gross P. A., Schrier R. W. Diagnostic importance of an increased serum anion gap. N Engl J Med. 1980 Oct 9;303(15):854–858. doi: 10.1056/NEJM198010093031505. [DOI] [PubMed] [Google Scholar]
  8. Gennari F. J., Goldstein M. B., Schwartz W. B. The nature of the renal adaptation to chronic hypocapnia. J Clin Invest. 1972 Jul;51(7):1722–1730. doi: 10.1172/JCI106973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Goldring R. M., Cannon P. J., Heinemann H. O., Fishman A. P. Respiratory adjustment to chronic metabolic alkalosis in man. J Clin Invest. 1968 Jan;47(1):188–202. doi: 10.1172/JCI105708. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Goodkin D. A., Krishna G. G., Narins R. G. The role of the anion gap in detecting and managing mixed metabolic acid-base disorders. Clin Endocrinol Metab. 1984 Jul;13(2):333–349. doi: 10.1016/s0300-595x(84)80025-0. [DOI] [PubMed] [Google Scholar]
  11. Levy L. J., Duga J., Girgis M., Gordon E. E. Ketoacidosis associated with alcoholism in nondiabetic subjects. Ann Intern Med. 1973 Feb;78(2):213–219. doi: 10.7326/0003-4819-78-2-213. [DOI] [PubMed] [Google Scholar]
  12. Madias N. E., Ayus J. C., Adrogué H. J. Increased anion gap in metabolic alkalosis: the role of plasma-protein equivalency. N Engl J Med. 1979 Jun 21;300(25):1421–1423. doi: 10.1056/NEJM197906213002507. [DOI] [PubMed] [Google Scholar]
  13. Narins R. G., Emmett M. Simple and mixed acid-base disorders: a practical approach. Medicine (Baltimore) 1980 May;59(3):161–187. doi: 10.1097/00005792-198005000-00001. [DOI] [PubMed] [Google Scholar]
  14. Oh M. S., Banerji M. A., Carroll H. J. The mechanism of hyperchloremic acidosis during the recovery phase of diabetic ketoacidosis. Diabetes. 1981 Apr;30(4):310–313. doi: 10.2337/diab.30.4.310. [DOI] [PubMed] [Google Scholar]
  15. Oh M. S., Carroll H. J., Goldstein D. A., Fein I. A. Hyperchloremic acidosis during the recovery phase of diabetic ketosis. Ann Intern Med. 1978 Dec;89(6):925–927. doi: 10.7326/0003-4819-89-6-925. [DOI] [PubMed] [Google Scholar]
  16. Orringer C. E., Eustace J. C., Wunsch C. D., Gardner L. B. Natural history of lactic acidosis after grand-mal seizures. A model for the study of an anion-gap acidosis not associated with hyperkalemia. N Engl J Med. 1977 Oct 13;297(15):796–799. doi: 10.1056/NEJM197710132971502. [DOI] [PubMed] [Google Scholar]
  17. Osnes J. B., Hermansen L. Acid-base balance after maximal exercise of short duration. J Appl Physiol. 1972 Jan;32(1):59–63. doi: 10.1152/jappl.1972.32.1.59. [DOI] [PubMed] [Google Scholar]
  18. Proudfoot A. T., Brown S. S. Acidaemia and salicylate poisoning in adults. Br Med J. 1969 May 31;2(5656):547–550. doi: 10.1136/bmj.2.5656.547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Van Ypersele de Strihou, Frans A. The respiratory response to chronic metabolic alkalosis and acidosis in disease. Clin Sci Mol Med. 1973 Oct;45(4):439–448. doi: 10.1042/cs0450439. [DOI] [PubMed] [Google Scholar]
  20. Winter S. D., Pearson J. R., Gabow P. A., Schultz A. L., Lepoff R. B. The fall of the serum anion gap. Arch Intern Med. 1990 Feb;150(2):311–313. [PubMed] [Google Scholar]

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