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Doctor insights on: Metabolic Acidosis Hypokalemia

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Why does respiratory alkalosis cause hypokalemia while metabolic acidosis causes hyperkalemia?

Why does respiratory alkalosis cause hypokalemia while metabolic acidosis causes hyperkalemia?

K and alkalosis acid: Blood K is sensitive to blood pH.( hydrogen ion concentration). When H gets too high (acidosis) it moves into cells to protect from death from too much acid.. As H+ moves into cells a + ion must move out. This is usually K+. Thus hyperK. When H+ gets too low (alkalosis) in blood H+ moves from cell to blood to prevent death from low H+.. As H+ moves out of cell K+ moves in. Thus blood K goes down. ...Read more

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Dr. Fred McCurdy
62 doctors shared insights

Metabolic Acidosis (Definition)

Metabolic acidosis occurs either from primary acid retention, renal (kidney) dysfunction/failure or bicarbonate (sodium bicarbonate) losses. Primary acid retentions cause anion-gap metabolic acidosis from these etiologies (methanol, uremia, diabetic ketoacidosis, para-aldehyde, isoniazid, lactic acidosis, ethylene glycol, salicylates). Kidney's dysfunction leads to acidosis. Finally any loss ...Read more


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What symptoms characterize metabolic acidosis?

What symptoms characterize metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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What are the symptoms common to metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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What is the definition or description of: metabolic acidosis?

What is the definition or description of: metabolic acidosis?

Decreased pH: Metabolic acidosis occurs either from primary acid retention, renal (kidney) dysfunction/failure or bicarbonate (sodium bicarbonate) losses. Primary acid retentions cause anion-gap metabolic acidosis from these etiologies (methanol, uremia, diabetic ketoacidosis, para-aldehyde, isoniazid, lactic acidosis, ethylene glycol, salicylates). Kidney's dysfunction leads to acidosis. Finally any loss of bicarb (diarrhea etc). ...Read more

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Need expert help here. What are some ways of treating metabolic acidosis?

Correct the problem: Metabolic acidosis from renal tubular disease is treated with bicarbonate, (sodium bicarbonate) lactic acidosis requires treating the source of the acid production, ketoacidosis requires relief of the diabetes or starvation with Insulin and carbohydrates. The source of the imbalance for acidosis must be identified and corrected. ...Read more

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What is the treatment for metabolic acidosis?

What is the treatment for metabolic acidosis?

Acidosis: The body compensates for metabolic acidosis by increasing the respiratory rate in order to alkalinize the blood by removing carbon dioxide. Acute treatment of metabolic acidosis requires administration of i've bicarbonate (sodium bicarbonate) or by performing urgent dialysis. ...Read more

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Can topamax (topiramate) cause metabolic acidosis?

Can topamax (topiramate) cause metabolic acidosis?

Yes: Among the side effects, including cognitive issues, narrow angle glaucoma, heat stroke risk in kids, kidney stones; is also, metabolic acidosis, which can potentially be life threatening. It has been associated with kidney disease, and surgery. It is advised to stop topamax (topiramate) if surgery is planned. ...Read more

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Could use expert help with why a fever causes metabolic acidosis?

Doesn't: Fever by itself will not cause a metabolic acidosis. But when associated with sepsis can be due to lactic acidosis, with starvation ketoacidosis. Infections are frequently associated with these conditions very ill patients, this is not your every day fever. ...Read more

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My uncle went in the ER with severe metabolic acidosis. What is that?

Acidosis: Metabolic acidosis (ma) is seen when one's kidneys can’t get rid of acid buildup or when one's body gets rid of too much base. It is a very serious condition and requires hospitalization. More information as to the cause of it, in your uncle's case, should come from either your uncle or his physicians. ...Read more

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How does the renal system compensates for metabolic acidosis and alkalosis?

How does the renal system compensates for metabolic acidosis and alkalosis?

Slowly & effectively: In response to acidosis, the kidney increases reabsorbtion of bicarbonate (sodium bicarbonate) from the tubular fluid, secretes more hydrogen ions, and generate more bicarbonate (sodium bicarbonate). Ammoniagenesis leads to increased formation of the buffering compounds. In responses to alkalosis, the kidney excretes more bicarbonate (sodium bicarbonate), decreases hydrogen ion secretion, and lowers rates of glutamine metabolism and ammonium excretion. ...Read more

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Can you tell me how the renal system compensates for metabolic acidosis and alkalosis?

Metabolic issues: The kidneys are very smart at keeping the body at the ph level. The kidneys are capable of getting rid of large amounts of acids (hydrogen ions) and reabsorbing bicarbonate (sodium bicarbonate) to keep the body in homeostasis. We excrete acid (h+) through titratable acidity and ammonium. ...Read more

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Husband in the ER in severe metabolic acidosis. What does this mean, and what could be the cause?

Husband in the ER in severe metabolic acidosis. What does this mean, and what could be the cause?

Many causes: Kidney failure has to be ruled out first. Sepsis, i.e. Infection is important to rule out also. If has diabetes need to make sure it is not diabetic ketoacidosis. Also, important to make sure it is not due to metformin (glucophage) if takes it for diabetes. Other rare causes include Aspirin poisoning and antifreeze poisoning will be ruled out by his doctors. ...Read more

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Can you tell me if i only eat protein, in large amounts for a very long time could i get metabolic acidosis?

Maybe: As dietary protein is broken down, acids are produced. The more protein intake, the more acids produced. Healthy kidneys can help excrete these acids as well as contribute to generation of a system to buffer the acids in the blood. However if kidney disease develops, the kidney capacity to handle an acid load is diminished and can lead to a metabolic acidosis. Hope this answers your question. ...Read more

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How does metabolic acidosis affect liver clearance of drugs? I.E. Should i stop my medications during metabolic acidosis

How does metabolic acidosis affect liver clearance of drugs? I.E. Should i stop my medications during metabolic acidosis

See below.: Patients with acidosis severe enough to affect drug metabolism are usually in the ICU with bigger problems. Mild degrees of acidosis are probably not sufficient to affect the clearance of many medications. ...Read more

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Is metabolic acidosis bad in pregnancy? I'm 25 weeks.

Bad!: Few things are as perilous to the fetus as metabolic acidosis. Please seek asap maternal fetal medicine care to get to the bottom of this. Best of luck! ...Read more

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What are the tests for metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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What're some of the causes of metabolic acidosis?

Many causes: This is more of a clinical site. Try googling other sites for basic science stuff. ...Read more

Acidosis (Definition)

Normally our body chemistry is kept in a narrow range, and in particular the amount of acid in the body is kept within a narrow range. The amount of acid is measured by a value called the ph. It is normally a value between 7.35 and 7.45, values below 7.35 are considered to be "acidotic" a patient with this value of the blood chemistry ...Read more


Dr. Clarence Grim
263 doctors shared insights

Hypokalemia (Definition)

Most labs will define normal as 3.5 to 5. Some may increase the upper limits to 5.2 but anything above 5.5 is clearly abnormal. Level below ...Read more