A metabolic acidosis caused by HCO3? loss: 1. can be a result of ammonium chloride ingestion. 2. will cause an increased anion gap. 3. may be referred to as hyperchloremic acidosis. 4. accompanied by Cl– gain
a. 1, 3, and 4 only
b. 1 and 3 only
c. 3 only
d. 2, 3, and 4 only
ANS: A
Metabolic acidosis caused by a loss of bicarbonate can be caused by ammonium chloride inges-tion or severe diarrhea. As the body is losing the bicarbonate, the kidneys increase their reabsorp-tion of chloride ions which keeps the anion gap within normal limits. This type of metabolic aci-dosis is sometimes referred to as hyperchloremic acidosis.
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