Calculation of physiological acid-base parameters in multicompartment systems with application to human blood

2003 ◽  
Vol 95 (6) ◽  
pp. 2333-2344 ◽  
Author(s):  
E. Wrenn Wooten
Keyword(s):  
Base Change ◽  
Strong Ion Difference ◽  
Acid Base Balance ◽  
Acid Base ◽  
Base Parameters ◽  
Present Formalism ◽  
Base Balance ◽  
Multicompartment Systems ◽  
Relationship Of ◽  
The Relationship

A general formalism for calculating parameters describing physiological acid-base balance in single compartments is extended to multicompartment systems and demonstrated for the multicompartment example of human whole blood. Expressions for total titratable base, strong ion difference, change in total titratable base, change in strong ion difference, and change in Van Slyke standard bicarbonate are derived, giving calculated values in agreement with experimental data. The equations for multicompartment systems are found to have the same mathematical interrelationships as those for single compartments, and the relationship of the present formalism to the traditional form of the Van Slyke equation is also demonstrated. The multicompartment model brings the strong ion difference theory to the same quantitative level as the base excess method.

Effect of potassium depletion on cerebrospinal fluid bicarbonate homeostasis

1976 ◽  
Vol 231 (2) ◽  
pp. 579-587 ◽  
Author(s):  
EE Nattie ◽  
SM Tenney
Keyword(s):  
Potassium Depletion ◽  
Acid Base Balance ◽  
Acid Base ◽  
Arterial Pco2 ◽  
Mixed Acid ◽  
Base Balance ◽  
Upward Direction ◽  
Relationship Of ◽  
The Relationship ◽  
K Depletion

We have examined the effect of K depletion on CSF [HCO3-] homeostasis in awake rats. The relationship of CSF [HCO3-] to arterial [HCO3-] in metabolic acid-base disturbances is displaced is an upward direction and has a significantly increased slope in K-depleted vs. control rats (0.51 +/- 0.02 vs. 0.42 +/- 0.02). Results of partial K-repletion experiments, with peripheral acid-base balance held constant, suggest that the effect is K specific. The K-depleted animals also exhibit a wider (CSF-arterial) PCO2 difference than controls (11.1 vs. 8.4 mmHg). When CSF [HCO3-] is shown as a function of CSF PCO2 the data of K-depleted rats are no longer displaced when compared to controls but still have a significantly greater slope (1.21 +/- 0.23 vs. 0.89 +/- 0.08). This increased slope is interpreted to reflect enhanced HCO3- movement from blood to CSF at high arterial [HCO3-]. Analysis of our data and observations from the literature in conditions of mixed acid-base disturbances suggest that CSF [HCO3-] is determined by a) CSF PCO2 and b) the level of arterial [HCO3-] when the latter is greater than the normal CSF [HCO3-].

The relationship of plasma glutamine to ammonium and of glycine to acid-base balance in propionic acidaemia

2003 ◽  
Vol 26 (1) ◽  
pp. 89-91 ◽  
Author(s):  
Z. N. Al-Hassnan ◽  
S. A. Boyadjiev ◽  
V. Praphanphoj ◽  
A. Hamosh ◽  
N. E. Braverman ◽  
...  
Keyword(s):  
Propionic Acidaemia ◽  
Acid Base Balance ◽  
Acid Base ◽  
Base Balance ◽  
Relationship Of ◽  
The Relationship

Ionic mechanisms of cerebrospinal fluid acid-base regulation

1983 ◽  
Vol 54 (1) ◽  
pp. 3-12 ◽  
Author(s):  
E. E. Nattie
Keyword(s):  
Cerebrospinal Fluid ◽  
Ionic Composition ◽  
Strong Ion Difference ◽  
Acid Base Balance ◽  
Acid Base ◽  
Co2 Partial Pressure ◽  
Base Balance ◽  
Ionic Mechanisms ◽  
Relationship Of

This review emphasizes the importance of strong ions in the regulation of cerebrospinal fluid (CSF) acid-base balance. In a solution like CSF that is devoid of nonbicarbonate buffers. [H+] and [HCO-3] are dependent variables, the independent variables being the CO2 partial pressure (PCO2) and the strong ion difference. Any measureable changes in CSF [HCO-3] and any change in [H+] that occur independent of changes in PCO2 must be accompanied by, if not caused by, changes in strong ions. The role of H+ and HCO-3 vs. strong ions in the ionic mechanisms of CSF acid-base regulation is unknown. For example, these mechanisms could depend only on changes in strong ions that accompany acid-base disorders, or they could be triggered by changes in [H+] or PCO2. These ideas are presented within the context of current concepts concerning the relationship of CSF to brain interstitial fluid (ISF) and the importance of choroid plexus and blood-brain barrier mechanisms in determining CSF and ISF ionic composition. Studies concerning CSF strong ions in normal and abnormal acid-base states are reviewed.

scholarly journals ASSOCIATION OF ACID-BASE PARAMETERS WITH LACTATE LEVEL IN CRITICALLY ILL PATIENTS WITH METABOLIC ACIDOSIS

2018 ◽  
Vol 24 (2) ◽  
pp. 141
Author(s):  
Donaliazarti Donaliazarti ◽  
Rismawati Yaswir ◽  
Hanifah Maani ◽  
Efrida Efrida
Keyword(s):  
Metabolic Acidosis ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Lactate Level ◽  
Linear Regression Analysis ◽  
P Value ◽  
Acid Base Balance ◽  
Acid Base ◽  
Base Parameters ◽  
Base Balance

Metabolic acidosis is prevalent among critically ill patients and the common cause of metabolic acidosis in ICU is lactic acidosis. However, not all ICUs can provide lactate measurement. The traditional method that uses Henderson-Hasselbach equation (completed with BE and AG) and alternative method consisting of Stewart and its modification (BDEgap and SIG), are acid-base balance parameters commonly used by clinicians to determine metabolic acidosis in critically ill patients. The objective of this study was to discover the association between acid-base parameters (BE, AGobserved, AGcalculated, SIG, BDEgap) with lactate level in critically ill patients with metabolic acidosis. This was an analytical study with a cross-sectional design. Eighty-four critically ill patients hospitalized in the ICU department Dr. M. Djamil Padang Hospital were recruited in this study from January to September 2016. Blood gas analysis and lactate measurement were performed by potentiometric and amperometric method while electrolytes and albumin measurement were done by ISE and colorimetric method (BCG). Linear regression analysis was used to evaluate the association between acid-base parameters with lactate level based on p-value less than 0.05. Fourty five (54%) were females and thirty-nine (46%) were males with participant’s ages ranged from 18 to 81 years old. Postoperative was the most reason for ICU admission (88%). Linear regression analysis showed that p-value for BE, AGobserved, AGcalculated, SIG and BDEgap were 119; 0.967; 0.001; 0.001; 0.689, respectively. Acid-base balance parameters which were mostly associated with lactate level in critically ill patients with metabolic acidosis were AGcalculated and SIG. 

scholarly journals Effect of intensive fattening of bulls based on a high-grain diet on growth intensity and biochemical and acid-base parameters of blood

2011 ◽  
Vol 50 (No. 8) ◽  
pp. 355-361 ◽  
Author(s):  
E. Štercová ◽  
V. Pažout ◽  
E. Straková ◽  
P. Suchý
Keyword(s):  
Metabolic Profile ◽  
Reference Range ◽  
Daily Weight Gain ◽  
Acid Base Balance ◽  
Acid Base ◽  
Compensatory Mechanisms ◽  
Plasma Urea ◽  
Growth Intensity ◽  
Base Parameters ◽  
Base Balance

The present study deals with the use of high-grain diets with a low proportion of fodder for fattened cattle, and with the evaluation of their effect on the growth intensity and metabolic profile of the animals. Thirty Holstein &times; Czech Pied bulls were given diets containing from 86.69 to 88.54% concentrates based on crushed cereals in the period from 216<sup>th</sup> to 327<sup>th</sup> day of age. The growth intensity of bulls was high, with the average daily weight gain of 1.64 kg in the course of the whole experiment. When the average body weight of animals reached 343.67 kg and 450.93 kg, blood samples were taken from the vena jugularis of 10 randomly selected animals for the assessment of acid-base balance and selected biochemical parameters. Slightly decreased pH values and increased pCO<sub>2</sub> were detected by the assessment of acid-base balance. The calculated values of base excess and standard bicarbonate were in the reference range; however in samples of the second collection a highly significant decrease was found (P &le; 0.01). By a biochemical analysis of blood increased levels of plasma phosphorus were detected in samples of both collections in comparison with the accepted reference range. A statistically highly significant increase (P &le; 0.01) in plasma urea concentrations was detected in samples of the second collection. Other investigated parameters ranged within the accepted reference values. The results of the experiments show that high-grain diets produced intensive growth with high daily weight gains, without adverse effects on the health status of the investigated bulls. Although some depletion of compensatory mechanisms maintaining the acid-base balance was recorded, no serious disturbance of metabolic profile was registered in the animals. &nbsp;

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