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Doctor insights on: Metabolic Acidosis Respiratory

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What is the difference between a metabolic acidosis and respiratory acidosis?

What is the difference between a metabolic acidosis and respiratory acidosis?

Resp = CO2 retention: Respiratory acidosis relates to co2 retention, otherwise known as "hypercapnea". Metabolic acidosis occurs either from primary acid retention, renal 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). ...Read more

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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Abg result: mixed metabolic acidosis and respiratory alkalosis with more than adequate oxygenation. What's the meaning of this? Thank you.

Abg result: mixed metabolic acidosis and respiratory alkalosis with more than adequate oxygenation. What's the meaning of this? Thank you.

Acid-base disorder: To give a clear answer we need to have the actual values for the ph, pco2, and the tco2 (usually called bicarbonate). A mixed disorder needs to be broken into the primary disorder and then if other disorders are present, are they primary or secondary. Normal oxygenation not relevant to this problem. Could be anxiety or medication for the resp alkalosis with a secondary hyperchloremic "acidosis". ...Read more

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How can diabetic ketoacidosis (w/ metabolic acidosis) causes respiratory failure?

How can diabetic ketoacidosis (w/ metabolic acidosis) causes respiratory failure?

Due to acidosis.,,: The metabolic acidosis causes a respiratory compensation in an attempt by the body to keep the blood ph normal. The respiratory compensation is to increase minute ventilation (both respiratory rate and volume per breath!). So, the person with severe metabolic acidosis will be breathing fast and deeply. Doing this for an extended period of time can lead to fatigue resulting in respiratory failure. ...Read more

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Respiratory acidosis and metabolic acidosis, which is worse?

Respiratory acidosis and metabolic acidosis, which is worse?

Worse acidosis: Both a respiratory (r) and metabolic acidosis (m) are bad. A r is due to retention of carbon dioxide (c) and a m is due to the presence of an organic acid. The treatment of a r is to reduce the c, blowing of c and the treatment of a m is to get rid of of the organic acid. ...Read more

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How are respiratory acidosis and metabolic acidosis different?

The source: Respiratory acidosis is the result of co2 build up in the blood, metabolic acidosis is the result of inability to remove acids or the addition of acids to the system. ...Read more

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Respiratory acidosis and metabolic acidosis in the same patient-how can this happen?

Acidosis: Respiratory acidosis (a) is a condition in which decreased ventilation (h) (hypoventilation) causes increased blood carbon dioxide concentration and decreased ph. Metabolic a occurs when the body produces too much acid or when the kidneys are not removing enough acid from the body. If a person has shock with an increased Lactic Acid level which leads to h, both types of acidosis are present. ...Read more

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What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?

What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?

Difference....: If your ph in your blood is lower than normal, then you have an acidosis. If the ph in your blood is higher than normal, then you have an alkalosis. To figure out if the abnormality is respiratory or metabolic, you need to know the carbon dioxide level. An arterial blood gas test would give the information needed to diagnose the disorder, including whether or not there is compensation! ...Read more

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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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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

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What is respiratory acidosis and the cause?

What is respiratory acidosis and the cause?

Hard to breathe: The lungs inhale air to get oxygen and exhale to get rid of carbon dioxide (co2). When the lungs fail, co2 builds up in your blood stream which causes the ph of the blood to go down (lower ph means more acid), that is what we call respiratory acidosis. ...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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What is high anion gap metabolic acidosis?

Metabolic acidosis: A high anion gap acidosis, (h), is an acidosis with a low carbon dioxide (c) and a normal chloride. This low c indicates the presence of an organic acid, such as lactic acid. H is seen in sepsis and diabetic ketoacidosis, among other conditions. It is a serious condition that requires immediate medical therapy to resolve it, as it is often life-threatening. ...Read more

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What does this mean "high anion gap metabolic acidosis"?

Anion gap: The anion gap is a calculation in which you subtract the sum of the negative ions in the blood (chloride, bicarbonate) from the sum of the positive ions (sodium, potassium). Often potassium is left out because it has only a very small effect. A normal gap is < 11. If the result of the subtraction is > 11 you have a high anion gap acidosis, which means some other acid is causing acidosis (ketoacids. ...Read more

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What is the result of metabolic acidosis if pyloric stenosis?

What is the result of metabolic acidosis if pyloric stenosis?

Bowel obstruction: Then vomiting, dehydration and loss of electrolytes. Gastric contents lost as vomit include acids, leading to a metabolic alkalosis (a 'contraction' alkalosis) with hypokalemia (low potassium), the baby needs to be admitted to a hospital, have intravenous fluids, a surgical consult and surgical repair of the pylorus to relieve the stenosis. It can be performed open or laprascopic. ...Read more

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What are the symptoms and treatments of mild or moderate respiratory acidosis?

What are the symptoms and treatments of mild or moderate respiratory acidosis?

Respir. Acidosis: Respiratory acidosis is the result of insufficient breathing in which you do not get rid of enough carbon dioxide, so it backs up in your blood stream and causes an acidosis. The treatment is to improve breathing. Sometimes you just need to stimulate or make the patient more alert, use antidotes for narcotic medications or sedatives, or use a breathing machine, if severe. ...Read more

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Is metabolic acidosis a common consequence of under-treated hashimoto's disease?

Is metabolic acidosis a common consequence of under-treated hashimoto's disease?

No: Hashimoto's disease is not associated with disturbances of acid/base balance. ...Read more

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Can hypercalcemia be caused because the body is trying to protect you from negative effects of mild/severe acidosis (metabolic acidosis, perhaps)?

Hypercalcemia: The answer to your question is, unfortunately, "no". Hypercalcemia (h) due to hyperparathyroidism is seen with a metabolic acidosis, it is not a defense against acidosis. H is usually not caused by bengin causes. If you, or someone you know, has h, see a endocrinolgoist as soon as possible. Goo luck. ...Read more

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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 main abnormality in respiratory acidosis?

Respiratory Acidosis: The main problem isn respiratory acidosis is having too high a level of carbon dioxide. This occurs in mostly in people who have lung disease, such as copd, and people with neuromuscular diseases, who have weak respiratory muscles or a decreased respiratory drive, it can also occur with a narcotic overdose or overdose of some other medications. ...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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Difference between respiratory acidosis or alkalosis?

Level of CO2: The lungs help regulate the blood's ph by regulating carbon dioxide (co2) exhaled, eliminating it from the body. If not enough co2 is exhaled then it builds up in the blood stream, and leads to respiratory acidosis. If excessive co2 is exhaled, as in hyperventilation, then this can cause respiratory alkalosis. ...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

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. Michael Kleerekoper
7 Doctors shared insights

Respiratory System (Definition)

The respiratory system consists of all organs in the body related to breathing including the nose, mouth, trachea and lungs. All four of these are ...Read more


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