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By generating metabolic acidosis, acetazolamide is able to attenuate the effects of respiratory alkalosis and improve AMS. PaO2 and PaCO2. acetazolamide is a carbonic anhydrase inhibitor causing a carbonic acidosis. Side effects include: respiratory failure headaches nausea vomiting seizures. causa acidosis metabólica secundaria; Diamox facilita HC03-excretion y por lo. elevation); ABG reveals exaggerated respiratory alkalosis and hypoxemia. new/39-1-3057.php The effect of acetazolamide on arterial carbon dioxide tension in respiratory acidosis: a preliminary report. ZUNIGA-Caro AA, ORREGO-PUELMA H. 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