Kidney International

TABLE 1

FROM:

Stewart and beyond: New models of acid-base balance

Howard E Corey

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Table 1. Comparison of the base excess, Stewart, and ion equilibrium models of acid-base balance

 Base excessStewartIon equilibrium
Acids and basesBronsted-LowryArrhenius-likeBronsted-Lowry
Measures magnitudeYesYesYes
Explains mechanismNoa YesNoa
Classifies disorderYesYesYes
Independent variablesBase excess, [Unfortunately we are unable to provide accessible alternative text for this. If you require assistance to access this image, please contact help@nature.com or the author], PCO 2 [SID], [ATot], PCO 2 Anyb
Intracellular buffersYesNoNot as currently developed
Noncarbonate buffersNoc YesYes
AdvantagesFamiliar and relatively simpleComprehensiveComprehensive and flexible
DisadvantagesRequires "plug-ins" such as anion gap and betaNonstandard definition of acids and basesNo new mechanistic information

a Unless anion-gap is used

b May use traditional or Stewart set of variables

c Unless Van Slyke's beta (Deltabase/DeltapH) is used or base excess measured by titration

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