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Chapter Ten : Acid-Base Physiology

Channel Your Enthusiasm

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Sodium and Potassium Changes in Dogs

The reason you get hyperkalemia and ketoacidosis is from insulin deficiency and asmodic shifts of water pulling potassium out of the cells it's a classic board question. In lactic acidosis lactate will go in the cells and so you don't have to have as hydrogen ion goes in the cell because you'll achieve electrical neutrality by lactate going in. And we think the chloride goes up because they're actually infusing chloride into the patient into the dogs that's right the plus 170s because we're giving them chloride. There is an important distinction and that's the fact that they're using hydrochloric acid and not lactic acid for instance or cEDO

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