Metabolic acidosis: Difference between revisions

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remove derivation which pulls numbers out of nowhere and has no clear point; restore ideas from 2006
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:<chem>H+ + HCO3- <=> H2CO3 <=> CO2 + H2O</chem>
 
The [[Henderson-Hasselbalch equation]] mathematically describes the relationship between blood pH and the components of the bicarbonate buffering system: <math chem display=block>p\ce{H}=pK_\text{a}+\log_{10}\frac{\left[\ce{HCO3-}\right]}{\left[\ce{CO2}\right]}</math> where ''pK''<sub>a</sub>&nbsp;&approx;&nbsp;6.1. In clinical practice, the concentration of {{CO2}} is usual estimated via [[Henry's law]]: [{{CO2}}] = 0.03 × P<sub>{{CO2}}</sub>, where P<sub>{{CO2}}</sub> is the [[partial pressure]] of {{CO2}} in arterial blood.
 
<math>\text{pH}=\text{pK}_a+\mathop{\mathrm{Log}}\frac{\left[\text{HCO}_3^-\right]}{\left[\text{CO}_2\right]}</math>
:Using [[Henry's law]], we can say that [{{CO2}}] = 0.03 × Pa{{CO2}}
: (Pa{{CO2}} is the pressure of {{CO2}} in arterial blood)
:Adding the other normal values, we get
 
<math>\text{pH}=6.1+\mathop{\mathrm{Log}}\left[\frac{24}{0.03\times 40}\right]</math>
:<math> = 6.1 + 1.3 </math>
:<math> = 7.4 </math>
 
== Consequences ==