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Volume 6 Issue 3 (March, 2018)

Original Articles

To determine cases of acid base disturbances admitted in medicine ward
Arshied Hussain Bhat

Background: There are many different buffer systems in the body, but the key one for understanding most acid-base disorders is the bicarbonate system present in the extracellular fluid. The present study was conducted to determine cases of acid base disturbances admitted in medicine ward. Materials & methods: This study was conducted on 75 cases of acid base disturbances of both genders. A thorough examination was performed in all patients. Arterial blood gases and plasma electrolytes (sodium, potassium and chloride) was estimated. Cases of acid base disturbances were also evaluated. Results: Out of 75 patients, males were 48 and females were 27. Cases were of respiratory acidosis in 23, metabolic acidosis in 30, respiratory alkalosis in 12 and metabolic alkalosis in10. The difference was significant (P<0.05). The mean sodium level was 131.2 mmol/L, potassium was 6.2 mmol/L, chloride was 112.7 mmol/L, bicarbonate was 5.2 mmol/L, lactate was 0.5 mmol/L and pH was 6.2. Conclusion: Authors found that common disturbances in patients were metabolic acidosis followed by respiratory acidosis, respiratory alkalosis and metabolic alkalosis. Key words: Acid base, Respiratory acidosis, Metabolic alkalosis

 
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