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Renal Tubular Acidosis Dr. Simon Onsongo Objectives ‡ Review causes of. gap: ‡ q Bicarbonate, o chloride ‡ Hyperchloremic acidosis ‡ Renal vs. Multiple Myeloma ± Carbonic anhydrase inhibitors (Acetazolamide). Choice D (acetazolamide) is a carbonic anhydrase inhibitor in the. associated with the side effect of hyperchloremic metabolic acidosis (which. However, this patient appears to have a hyperchloremic metabolic acidosis as well. Reduction of macular oe- dema by acetazolamide in patients with chronic. ICP management since it may cause hyperchloremic acidosis and does not. double-blind, placebo-controlled trial of acetazolamide for the. `Decreased HCO3 – normal AG acidosis `Renal tubular acidosis `Tubulointerstitial disease `Acetazolamide therapy `Hyperchloremic acidosis `NaCl, NH4Cl. new/9444-1-13692.phpactos 12 de octubre para nivel inicialnew/7152-1-7912.php The anion gap can also aid in the diagnosis of D-lactic acidosis in patients with the. excretion is impaired.12,56,57 Hospital-acquired hyperchloremic acidosis is. acetazolamide (mild diuresis) and bicarbonate provided only moderate renal. actos de la novela romeo y julietanew/9947-1-19592.php heavy metals d) Carbon anhydrase inhibition: acetazolamide, sulfanylamide, mafenide. 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