RT Book, Section
A1 Benjamin, John R.
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135739532
T1 Strong Ion Difference
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135739532
RD 2024/04/19
AB A  strong  ion  describes  the  complete  dissociation  of  a  molecule  in  solution.  Its  clinical  application  explains  the  acid–base  abnormality  associated  with  administration  of  intravenous  normal  saline  crystalloid  fluids.  Understanding  how  strong  ion  chemistry  affects  blood  pH  is  essential  in  understanding  nongap  metabolic  acidosis.  Many  clinicians  feel  that  this  approach  to  understanding  acid-base  disorders  is  more  complete  that  using  the  more  traditional  Henderson–Hasslebach  method.  Peter  Stewart  first  popularized  this  approach  in  1981  by  the  publication  of  his  textbook  and  two  years  later  in  a  journal  article.