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Uric acid displays lactam–lactim tautomerism. [4] Uric acid crystallizes in the lactam form, [5] with computational chemistry also indicating that tautomer to be the most stable. [6] Uric acid is a diprotic acid with pK a1 = 5.4 and pK a2 = 10.3. [7] At physiological pH, urate predominates in solution. [medical citation needed]
Acid–base and blood gases are among the few blood constituents that exhibit substantial difference between arterial and venous values. [6] Still, pH, bicarbonate and base excess show a high level of inter-method reliability between arterial and venous tests, so arterial and venous values are roughly equivalent for these. [44]
Maintain calcium and phosphorus levels 1.7-4.1 ... 6.7-8.6 × 10 −8: Histidine: 9 ... Uric acid: child 2.0-6.7 ...
normal range for uric acid in blood [10] 570 μM: inhaled carbon monoxide induces unconsciousness in 2–3 breaths and death in < 3 min (12 800 ppm) [15] 10 −3: mM 0.32–32 mM: normal range of hydronium ions in stomach acid (pH 1.5–3.5) [16] 5.5 mM: upper bound for healthy blood glucose when fasting [17] 7.8 mM
Proteinuria, leucocytosis and elevated uric acid concentrations > 7.8 mg. Decreased serum haptoglobin and haemoglobin levels. Increased serum bilirubin levels and visual disturbances.
Allopurinol is a medication used to decrease high blood uric acid levels. [5] It is specifically used to prevent gout, prevent specific types of kidney stones and for the high uric acid levels that can occur with chemotherapy. [6] [7] It is taken orally (by mouth) or intravenously (injected into a vein). [7]
Lesinurad (brand name Zurampic) is a urate transporter inhibitor for treating high blood uric acid levels associated with gout. [2] It is recommended only as an adjuvant with either allopurinol or febuxostat when these medications are not sufficient. [3] It received FDA approval on 22 December 2015. [3]
Acid consumption from poisoning such as methanol ingestion, elevated levels of iron in the blood, and chronically decreased production of bicarbonate may also produce metabolic acidosis. Metabolic acidosis is compensated for in the lungs, as increased exhalation of carbon dioxide promptly shifts the buffering equation to reduce metabolic acid.
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