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Cardiopulmonary Anatomy & Physiolo...

7th Edition
Des Jardins + 1 other
ISBN: 9781337794909

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BuyFindarrow_forward

Cardiopulmonary Anatomy & Physiolo...

7th Edition
Des Jardins + 1 other
ISBN: 9781337794909
Textbook Problem

Metabolic acidosis caused by a decreased HCO 3 - is often called

A. Hyperchloremic metabolic acidosis

B. Ketoacidosis

C. Hypokalemia

D. Lactic acidosis

Summary Introduction

Introduction:

The production of excessive quantities of acid or the condition in which enough acid is not removed by the kidneys from the body leads to metabolic acidosis. It occurs due to various reasons, such as fluctuation in the levels of PCO2 (partial pressure of CO2), pH (potential of hydrogen), and HCO3- (bicarbonate ions).

Explanation

Justification for the correct answer:

Option (a) is, ‘hyperchloremic metabolic acidosis.’ The metabolic acidosis caused by a decreased HCO3- is often called hyperchloremic metabolic acidosis. It is another form of the metabolic acidosis and is related to the normal anion gap. It involves the drastic increase in the concentration of the plasma chloride ions and a decrease in the concentration of the plasma bicarbonate ions. It occurs due to an increase in the urine anion gap. Hence, option (a) is correct.

Justification for the incorrect answers:

Option (b) is, ‘ketoacidosis.’ It is the condition in which the blood-insulin level becomes low and it becomes difficult for the serum glucose to enter the tissue cells for metabolic reactions. It is a result of the accumulation of ketone bodies...

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