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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1976-9-25
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pubmed:abstractText |
The purpose of this study was to clarify the means by which lithium induced a disorder of urine acidification. Rats infused with hydrochloric acid (1 mEq/kg) developed acute metabolic acidosis (blood Ph = 7.32; bicarbonate, 18 mEq/liter) with a urine pH of approximately 5.85. The addition of lithium chloride (4 mEq/kg i.p) caused an increase in the urine pH (6.38) and a further decrease in blood bicarbonate (11.0 mEq/liter). During bicarbonate loading, lithium caused the urine PCO2 to fall significantly (urine minus blood PCO2 decreased from 25.3 +/-2.8 To 14.4 +/- 2.3 mm Hg) These changes were not seen following equimolar i.p. administration of sodium chloride. Similarly, lithium administration depressed bicarbonate reabsorption by 11.1% (from 30.6 to 27.2muEq/ml of GFR) during alkali infusion, while saline caused only a 5% decrease (30.0 to 28.5muEq/ml of GFR). The combination of an increase in urine PCO2 in alkaline urine indicates that lithium produced a defect in distal nephron hydrogen ion secretion. The fall in bicarbonate reabsorption following lithium administration oculd be due to a mild hydrogen ion secretory defect located in the proximal tubule or a severe defect in the distal nephron.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0085-2538
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
344-50
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pubmed:dateRevised |
2009-10-27
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pubmed:meshHeading |
pubmed-meshheading:7708-Acid-Base Imbalance,
pubmed-meshheading:7708-Acidosis,
pubmed-meshheading:7708-Acidosis, Renal Tubular,
pubmed-meshheading:7708-Animals,
pubmed-meshheading:7708-Bicarbonates,
pubmed-meshheading:7708-Glomerular Filtration Rate,
pubmed-meshheading:7708-Hydrogen-Ion Concentration,
pubmed-meshheading:7708-Kidney Tubules, Proximal,
pubmed-meshheading:7708-Lithium,
pubmed-meshheading:7708-Male,
pubmed-meshheading:7708-Phosphates,
pubmed-meshheading:7708-Rats,
pubmed-meshheading:7708-Sodium Chloride
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pubmed:year |
1976
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pubmed:articleTitle |
Lithium-induced impairment of urine acidification.
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pubmed:publicationType |
Journal Article
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