Urine anion gap can differentiate respiratory alkalosis from metabolic acidosis in the absence of blood gas results.
chronic respiratory alkalosis
metabolic acidosis
urine anion gap
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
revised:
31
01
2023
received:
07
12
2022
accepted:
12
03
2023
medline:
17
5
2023
pubmed:
24
3
2023
entrez:
23
3
2023
Statut:
ppublish
Résumé
Low plasma bicarbonate concentration due to chronic respiratory alkalosis may be misdiagnosed as metabolic acidosis and mistreated with administration of alkali therapy, particularly when arterial blood gas is not available. We measured urine anion gap [urine (Na Hyperventilation and low serum bicarbonate concentrations were associated with urine pH above 5.5 and positive urine anion gap in all, suggesting CRA. The diagnosis was later confirmed by obtaining capillary blood gas, which showed a decrease in PCO The use of urine anion gap can help to differentiate between chronic respiratory alkalosis and metabolic acidosis, especially when arterial blood gas is not obtained.
Substances chimiques
Bicarbonates
0
Types de publication
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
1815-1817Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
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