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Videos de Conceptos Relacionados

Diagnosing Acidosis and Alkalosis01:24

Diagnosing Acidosis and Alkalosis

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Diagnosing acid-base imbalances involves systematically analyzing arterial blood samples, focusing on three key measurements: pH, bicarbonate (HCO3−) concentration, and carbon dioxide partial pressure (PCO2). This analysis follows a four-step process that helps identify the imbalance's underlying cause and nature.
First, the pH level is assessed to determine whether the blood pH is normal (7.35–7.45), low (acidosis), or high (alkalosis).
Next, the PCO2  and...
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Acid-Base Balance01:25

Acid-Base Balance

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The human body maintains a narrow pH range regulated through acid-base balance. This balance is crucial as changes in the hydrogen ion concentration can disrupt cell membrane stability, alter protein structures, and change enzyme activities. The normal pH of arterial blood is 7.4, venous blood and interstitial fluid is 7.35, and intracellular fluid averages 7.0.
When the pH of arterial blood rises above 7.45, it results in a condition called alkalosis. Conversely, a drop below 7.35 leads to...
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Disorders of Acid-Base Balance01:29

Disorders of Acid-Base Balance

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The human body maintains a precise pH range of arterial blood between 7.35 and 7.45. Deviations result in either acidosis (pH < 7.35) or alkalosis (pH > 7.45). These conditions are further classified as respiratory or metabolic disorders based on their underlying cause.
Respiratory Acidosis and Alkalosis
Respiratory acidosis occurs due to an increase in the partial pressure of carbon dioxide PCO2 in the blood. It often arises from shallow breathing or impaired gas exchange caused by...
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Acid&#8211;Base Titration: Overview01:26

Acid–Base Titration: Overview

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An acid-base titration is a technique used to determine the concentration of an unknown acid or base, using a titrant of known concentration–either a base for acid titration or an acid for base titration. The process involves gradually adding the titrant, leading to a predictable change in the pH of the solution. This change is plotted on a titration curve, showing how a solution's pH varies with the amount of titrant added. Such curves are instrumental in monitoring the...
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Bronsted-Lowry Acids and Bases02:58

Bronsted-Lowry Acids and Bases

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The acid-base reaction class has been studied for quite some time. In 1680, Robert Boyle reported traits of acid solutions that included their ability to dissolve many substances, to change the colors of certain natural dyes, and to lose these traits after coming in contact with alkali (base) solutions. In the eighteenth century, it was recognized that acids have a sour taste, react with limestone to liberate a gaseous substance (now known to be CO2), and interact with alkalis to form neutral...
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Titration of a Weak Acid with a Strong Base01:30

Titration of a Weak Acid with a Strong Base

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In titrating a weak acid with a strong base, different calculation methods are applied at various stages. Initially, the pH of a weak acid like acetic acid is calculated using its dissociation constant (Ka) and an ICE table. Upon addition of a strong base such as sodium hydroxide, a buffer forms, and its pH is determined using the Henderson-Hasselbalch equation. As more base is added and the titration reaches the halfway point, the pH becomes equal to the pKa of the acid, indicating equal...
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Updated: Jan 13, 2026

Measurement and Analysis of Extracellular Acid Production to Determine Glycolytic Rate
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Measurement and Analysis of Extracellular Acid Production to Determine Glycolytic Rate

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Exceso de Base y Más Allá: Conceptos en Evolución en el Análisis Ácido-base

Özge Köner1, Tuğhan Utku1, Kubilay Demirağ2

  • 1Yeditepe University Faculty of Medicine, Department of Anesthesiology and Intensive Care, İstanbul, Türkiye.

Turkish journal of anaesthesiology and reanimation
|January 7, 2026
PubMed
Resumen

El exceso de base (BE) es un indicador clave para las alteraciones metabólicas del equilibrio ácido-base y la predicción de la mortalidad en pacientes críticos. Fórmulas simplificadas permiten ahora una evaluación rápida y fiable en el punto de atención, mejorando la evaluación clínica.

Sus antecedentes:

Palabras clave:
Equilibrio ácido-baseEnfoque de Stewartexceso de base alácticaexceso de baseacidosis metabólicaalcalosis metabólica

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  • El exceso de base (BE) es un marcador crucial para las alteraciones metabólicas del equilibrio ácido-base y la predicción de la mortalidad en pacientes críticos.
  • La evaluación tradicional del BE se basaba en el modelo de Henderson-Hasselbalch.
  • El enfoque de Stewart ofrece una evaluación más mecanicista pero implica cálculos complejos.

Conclusiones:

  • La evolución del Exceso de Base ha llevado a herramientas clínicas más prácticas e informativas.
  • Los cálculos simplificados de BE integrados con el enfoque de Stewart mejoran la evaluación en el punto de atención de las alteraciones del equilibrio ácido-base.
  • El concepto de 'BE aláctico' mejora la precisión diagnóstica en pacientes con insuficiencia renal.