Bicarbonate Deficit
<p>Calculates total body bicarb deficit.</p>
id
27
full_title
Bicarbonate Deficit
short_title
Bicarbonate Deficit
med_description
Calculates the total body bicarbonate deficit.
description
The Bicarbonate Deficit calculator calculates the total body bicarbonate deficit.
keywords
Bicarbonate Deficit, bicarb calc, deficit calc, bicarb deficit calc, hco3 calc, h2co3 calc, bicarb deficit score, bicarb deficit, bicarbonate calc, bicarbonate acidosis, bicarbonate, bicarb by weight, bicarb deficit by weight.
complaint
[ "Diarrhea" ]
formula
Bicarbonate deficit = 0.4 × body weight in kg × (24 – bicarbonate level)
evidence
measurements
[ { "name": "Weight", "unit": "wt", "error_min": "0.5", "error_max": "620", "warn_min": "0.5", "warn_max": "500", "conversion": "0.453592", "normal_max_si": "150", "normal_max_us": "330", "normal_min_si": "1", "normal_min_us": "2", "units_si": "kg", "units_us": "lbs" }, { "name": "Bicarbonate", "unit": "bicarb", "error_min": "1", "error_max": "100", "warn_min": "4", "warn_max": "60", "conversion": "1", "normal_max_si": "28", "normal_max_us": "28", "normal_min_si": "23", "normal_min_us": "23", "units_si": "mmol/L", "units_us": "mEq/L" } ]
information
refrences
{ "Clinical Practice Guidelines": [], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://books.google.com/books/about/Acid_Base_Case_Studies.html?id=7yoeWTBUfN0C", "text": "Kurtz I. Acid-Base Case Studies. 2nd Ed. Trafford Publishing (2004); 68:150." } ], "Other References": [ { "href": "http://www.ncbi.nlm.nih.gov/pubmed/10631227", "text": "Forsythe SM, Schmidt GA. Sodium bicarbonate for the treatment of lactic acidosis. Chest. 2000;117(1):260." }, { "href": "https://emergency.lwwhealthlibrary.com/book.aspx?bookid=938", "text": "Kollef MH, Bedient TJ, Isakow W, Witt CA. The Washington Manual of Critical Care. Lippincott Williams & Wilkins, 2007; p185:583." } ], "Outcomes": [], "Validation": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/18322160/", "text": "Sabatini S, Kurtzman NA.Bicarbonate Therapy in Severe Metabolic Acidosis. Published online before print. March 5, 2008, doi:10.1681/ASN. 2007121329JASN April 2009 vol. 20 no. 4692-695" } ], "Validations": [] }
pearls
Recall that this is an estimate of total body bicarbonate deficit.
usecase
reasons
next_advice
Bicarbonate is occasionally supplemented in IV fluids but often will improve when the patient's underlying condition is improved.
next_actions
next_management
diseases
[ "Acid-Base Disturbance", "Diabetes Mellitus", "Renal Failure", "Sepsis", "Trauma" ]
instructions
published
2022-04-21T20:29:11.283Z
purpose
[ "Formula" ]
search_terms
[ "base excess", "base deficit" ]
seo
{ "keywords_en": "Bicarbonate Deficit, bicarb calc, deficit calc, bicarb deficit calc, hco3 calc, h2co3 calc, bicarb deficit score, bicarb deficit, bicarbonate calc, bicarbonate acidosis, bicarbonate, bicarb by weight, bicarb deficit by weight.", "meta_description_en": "The Bicarbonate Deficit calculator calculates the total body bicarbonate deficit." }
specialty
[ "Critical Care", "Emergency Medicine", "Endocrinology", "Gastroenterology", "Geriatrics", "Hospitalist Medicine", "Internal Medicine", "Nephrology", "Surgery (Trauma)" ]
departments
[ "Endocrine and Metabolic", "Gastrointestinal", "Renal" ]
tags
[]
version_number
1
versions
[]
related
[ { "calcId": "1669", "short_title_en": "Anion Gap", "slug": "anion-gap" }, { "calcId": "1741", "short_title_en": "ABG Analysis", "slug": "arterial-blood-gas-abg-analyzer" }, { "calcId": "60", "short_title_en": "FENa", "slug": "fractional-excretion-sodium-fena" } ]
ismed
false
section
[ "pearlsPitfallsViewed", "nextStepsViewed", "evidenceViewed" ]
cleaned_departments
[ "endocrine", "gastroenterology", "urology" ]
cleaned_use
[]
pub
true