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NORMAL VALUES

pH
PCO2
HCO3
7.35 - 7.45
35 - 45
21 - 28

METABOLIC ACIDOSIS

pH:
PCO2:
HCO3:
< 7.35
Normal (35-45)
< 21

RISK FACTORS

Diarrhea
Fever
Hypoxia
Starvation
Seizure
Renal failure
DKA
Dehydr­ation
Overdose (salic­ylates or ethanol)

MANIFE­STA­TIONS

Bradyc­ardia
Weak pulse
Hypote­nsion
Tachypnea
Flaccid paralysis
Confusion
Hypore­flexia
Lethargy
Warm, flushed, dry skin
Kussmaul respir­ations

INTERV­ENTIONS

Treat underlying cause
Administer fluids, electr­olytes

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