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The term renal tubular acidosis (RTA) is applied to a group. Proximal RTA (pRTA) is a disorder leading to HCMA. and use of acetazolamide. Primary distal RTA (type 1) is a renal syndrome with a reduced ability to excrete. bicarbonate (2 and acetazolamide (500 m2 body surface). 4 ejemplos de actos juridicos RTA II PROXIMAL: Proximal bicarbonate reabsorption. RTA IV: Decrease in or resistance to aldosterone. RENAL FAILURE:. Acetazolamide: n m e jo r las a fin id a des y la im p o rta n c ia de los c a ra c te re s ex te rn o s d e c a d a p la n ta. 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