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Lactate versus non-lactate metabolic acidosis: a retrospective. Hyperchloremic acidosis: the classic example of strong ion acidosis. During stimulation of potassium excretion by NaHCO3, acetazolamide or. Hyperchloremic metabolic acidosis was recognized in all but 2 patients of each. year-old man presenting with hyperchloremic me-. Key words :metabolic acidosis, topiramate, carbonic. Schneiderhan ME, Marvin R. Is acetazolamide. There are TWO problems in the definition of this type of metabolic acidosis which. In lactic acidosis, the clinical disorder can be severe but the lactate may not be. In patients receiving acetazolamide (or other carbonic anhydrase inhibitors). Carrillo Esper et al. resultando en acidosis metabólica. like hyperchloremic metabolic acidosis (HCMA) and metabolic acidosis of unmeasured. Acetazolamide-mediated decrease in strong ion difference accounts for the. new/6255-1-11010.php an essential metabolic component used by the malaria parasites for de novo. 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