Description

The base excess is defined as the number of mEq of acid needed to titrate 1 liter of blood to a pH of 7.4 at pCO2 of 40 mm Hg and at 37 C. It is useful in determining the metabolic component in mixed respiratory and metabolic disorders. There are two versions - in vivo base excess and in vitro base excess. The in vitro base excess can be calculated from the Siggaard-Andersen formula.


 

in vitro base excess =

= ((1 - A) * ((HCO3) - 24 - (B * C)))

 

where:

• A = ((0.0143) * (hemoglobin in g/dL))

• B = (9.5 + (1.63 * (hemoglobin in g/dL)))

• C = (7.4 - pH)

 


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