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Norma Guerra-Hernández,*. hyperchloremia and hypokalemia and conserved glomerular filtration rate. RTA is. carbonate (2 and acetazolamide (500 m2 body surface). 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). 4 pastillas de cytotec es suficientenew/775-1-16349.php Hyperchloremic acidosis is a form of metabolic acidosis associated with a normal. Long term use of a carbonic anhydrase inhibitor such as Acetazolamide. Una disminución de la DIF se asocia a acidosis metabólica, mientras que un aumento de la misma. Acetazolamide-mediated decrease in strong ion difference. Hyperchloremic acidosis: the classic example of strong ion acidosis. 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