Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Hyperchloremic acidosis
Introduction
Overview
Overview
Usually the HCO3– lost is replaced by a chloride anion, and thus there is a normal anion gap. In normal anion gap acidosis, the increased anion is chloride, which is measured, so the anion gap does not increase. Thus, normal anion gap acidosis is also known as hyperchloremic acidosis. Urine anion gap is useful in evaluating a patient with a normal anion gap.
References
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Historical Perspective
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References
Pathophysiology
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References
Causes
Overview
Causes
The mnemonic for the most common causes of a normal-anion gap metabolic acidosis is “DURHAM.”
- D– Diarrhea
- U– Ureteral diversion
- R– Renal tubular acidosis
- H– Hyperailmentation
- A– Addison’s disease, acetazolamide, ammonium chloride
- M– Miscellaneous (chloridorrhea, amphotericin B, toluene – toluene causes high anion gap metabolic acidosis followed by normal anion gap metabolic acidosis.
References
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Epidemiology and Demographics
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References
Natural History, Complications and Prognosis
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References
Treatment
Treatment
Contraindicated medications
Hyperchloremic acidosis is considered an absolute contraindication to the use of the following medications:
External links
External links
Editor-In-Chief: Template:DiseaseDisorder infobox C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]