Nonrespiratory/Metabolic Acidosis

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The page below is a sample from the LabCE course Introduction to Blood Gases. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Nonrespiratory/Metabolic Acidosis

Recall that nonrespiratory/metabolic acidosis results from either a loss of bicarbonate or an increase in organic acids (e.g., ketoacids or lactic acid).
The following disease states can cause metabolic acidosis:
  • diarrhea (prolonged; excessive bicarbonate loss)
  • renal tubular acidosis (blood remains acidic due to failure to excrete acids)
  • diabetic ketoacidosis (production of ketoacids)
  • lactic acidosis (cell death/infections)