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The toxicity of four CA inhibitors (CAI): acetazolamide (AZM), methazolamide (MZM). Renal tubular acidosis in children: state of the art, diagnosis and treatment. Diagnosis should include the presence of hyperchloremic metabolic acidosis. The use of acetazolamide for the treatment of Meniere's syndrome1,2 is uncommon. The cases of metabolic acidosis with a normal anion gap (hyperchloremic). Distal Renal Tubular Acidosis Screening by Urinary Acidification Testing in Mexican Children. disorder characterized by hyperchloremic metabolic acidosis, hypercalciuria. The maximum urinary pCO2 test using acetazolamide and sodium. There are several types of metabolic acidosis Diabetic acidosis also called. build up during uncontrolled type diabetes Hyperchloremic acidosis. Initial priming is 4 sprays; usage acetazolamide 250 mg 2 sprays or until a. However, this patient appears to have a hyperchloremic metabolic acidosis as well. 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