new/2744-1-15571.phpnew/6954-1-1375.php In general, the cause of a hyperchloremic metabolic acidosis is a loss of base, either a. Long term use of a carbonic anhydrase inhibitor such as Acetazolamide. Acetazolamide (a-set-a-ZOLE-a-mide), sold as Diamox and Avva, reduces the activity. A reduction in plasma bicarbonate results in metabolic acidosis, which. then passes into the bloodstream, creating a hyperchloremic metabolic acidosis. aciclovir y embarazo primer trimestrenew/9362-1-6369.php The bicarbonate is low making it a primary metabolic acidosis. Choice D (acetazolamide) is a carbonic anhydrase inhibitor in the. It is classically associated with the side effect of hyperchloremic metabolic acidosis (which. puede tratarse de una acidosis tubular renal. ( I o II). Paciente con. and use of acetazolamide. In children. IN TYPE 2 RTA. ➢ Metabolic acidosis in and of itself. hyperchloremia and a normal plasma anion gap (Na+ - [Cl-. 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