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Hyperchloremic Metabolic Acidosis (NAGMA)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Avoid AcidosisAvoid HypoventilationUnstable ElectrolytesOptimize ElectrolytesHyperkalemiaHypokalemiaRenal DysfunctionRenal AbnormalitiesArrhythmiasDehydration

Pathophysiology

Hyperchloremic metabolic acidosis is acidemia (pH below 7.35) with a normal anion gap and an elevated serum chloride. It comes from losing bicarbonate rather than making or retaining acid. As...

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