| Evidence Based Critical Care |
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ABG Acid-Base Calculator
High AG Metabolic Acidosis
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| S |
Salicylate |
| L |
Lactate |
| U |
Uremia |
| M |
Methanol |
| P |
Paraldehyde |
| E |
Ethylene glycol |
| D |
Diabetic, alcoholic, and starvation ketoacidosis |
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| Normal AG Metabolic Acidosis |
| GI loss of HCO3 |
- Diarrhea
- Enterocutaneous fistula (e.g., pancreatic)
- Enteric diversion of urine (e.g., ileal loop bladder)
- Pancreas transplant with bladder drainage
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| Renal loss of HCO3 |
- Proximal renal tubular acidosis (RTA) (type 2)
- Carbonic anhydrase inhibitors
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| Failure of renal H+ secretion |
- Distal RTA (type 1)
- Aldosterone deficiency/resistance RTA (type 4)
- Early renal failure (GFR > 20 ml/min)
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| Acid infusion |
- Ammonium chloride
- Hyperalimentation
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| Others |
- Rapid volume expansion with isotonic sodium chloride
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