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Updated: Apr 3, 2026

Establishment of an Extracellular Acidic pH Culture System
Published on: November 19, 2017
Understanding Acid Base Disorders
Hernando Gomez1, John A Kellum1
1Department of Critical Care Medicine, Center for Critical Care Nephrology, The CRISMA Center, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA 15261, USA.
Abstract:
The concentration of hydrogen ions is regulated in biologic solutions. There are currently 3 recognized approaches to assess changes in acid base status. First is the traditional Henderson-Hasselbalch approach, also called the physiologic approach, which uses the relationship between HCO3(-) and Pco2; the second is the standard base excess approach based on the Van Slyke equation. The third approach is the quantitative or Stewart approach, which uses the strong ion difference and the total weak acids. This article explores the origins of the current concepts framing the existing methods to analyze acid base balance.
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