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Compensated Respiratory is, therefore, more acid than expected by 0.2, equivalent to 12 mEq/L of metabolic acidosis. Metabolic Acidosis: Acute < 7.35: Normal < 22: Partly Compensated < 7.35 < 35 < 22 with an alkalemic pH may exhibit respiratory acidosis and metabolic. pH normal + increased pCO2 + increased HCO3 = compensated respiratory acidosis . pH normal + decreased HCO3 + decreased pCO2 = compensated metabolic acidosis When metabolic acidosis is severe and can no longer be compensated for adequately by the lungs, neutralizing the acidosis with infusions of bicarbonate may be required.
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