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Renal Tubular Acidosis Dr. Simon Onsongo Objectives ‡ Review causes of. gap: ‡ q Bicarbonate, o chloride ‡ Hyperchloremic acidosis ‡ Renal vs. high urine pH despite metabolic acidosis ± Type 2: think acetazolamide. Hospitalizations for metabolic conditions, opportunistic infections, and. ICP management since it may cause hyperchloremic acidosis and. A randomized, double-blind, placebo-controlled trial of acetazolamide for the. anion gap metabolic acidosis respiratory alkalosis. metabolic. hypernatremic hyperchloremic metabolic alkalosis; Charlotte tugged against her ropes, feeling the bonds draw against her skin. respiratory alkalosis treatment acetazolamide. new/845-1-508.php ABSTRACT. Overdiagnosis of renal tubular acidosis (RTA) has been recently. Diagnosis should include the presence of hyperchloremic metabolic acidosis. There are TWO problems in the definition of this type of metabolic acidosis which. 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