Saturday, June 13 (2015); Acid-Base Disturbance
If chloride is not a product of metabolism, how can you call its excess a "metabolic" acidosis? While trying to bravely ignore certain crippling epistemological problems, this chapter focuses on the mechanisms of non-respiratory acid-base disturbances, and how one might attempt to pidgeonhole them into a sensible taxonomy. Several possible alternatives present themselves, and while Stewart's quantitative approach to acid-base interpretation offers a comprehensive framework, it remains clearly unfamiliar, and its application in clinical medicine remains clearly non-superior. Thus, the framework used to organise subsequent chapters uses the more "traditional" anion gap method of classification.