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A structured approach to acid‐base interpretation

KJ Farley and Elisa Licari
Med J Aust 2019; 211 (7): . || doi: 10.5694/mja2.50344
Published online: 7 October 2019

Understanding how to identify acid‐base disorders is essential, as their consequences can be life‐threatening

Disorders affecting acid‐base status are common, with a variety of pathophysiological causes and consequences that range from minor disturbances to life‐threatening disorders. A thorough understanding of how to identify acid‐base disorders (by history, examination and targeted investigations including blood gas) is essential. Through a series of clinical vignettes, this article illustrates the value of a structured approach to acid‐base assessment.


  • 1 Western Health, Melbourne, VIC
  • 2 Alfred Health, Melbourne, VIC


Correspondence: Kj.Farley@wh.org.au

Competing interests:

No relevant disclosures.

  • 1. Narins RG, Emmett M. Simple and mixed acid‐base disorders: a practical approach. Medicine (Baltimore) 1980; 59: 161–187.
  • 2. Brend K, De Vries APJ, Gans RO. Physiological approach to assessment of acid‐base disturbances. N Engl J Med 2014; 371: 1434–1445.
  • 3. Adrogué HJ, Gennari FJ, Galla JH, Madias NE. Assessing acid‐base disorders. Kidney Int 2009; 76: 1239–1247.
  • 4. Byrne AL, Bennett M, Chatterji R, et al. Peripheral venous and arterial blood gas analysis in adults: are they comparable? A systematic review and meta‐analysis. Respirology 2014 Feb; 19: 168–175.

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