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The bicarbonate ion (hydrogencarbonate ion) is an anion with the empirical formula HCO − 3 and a molecular mass of 61.01 daltons; it consists of one central carbon atom surrounded by three oxygen atoms in a trigonal planar arrangement, with a hydrogen atom attached to one of the oxygens. It is isoelectronic with nitric acid HNO 3.
Carbonic acid is a chemical compound with the chemical formula H 2 C O 3.The molecule rapidly converts to water and carbon dioxide in the presence of water. However, in the absence of water, it is quite stable at room temperature.
For example, a person with cholera may have a normal anion gap acidosis due to diarrhea, but becomes progressively dehydrated and develops a lactic acidosis from shock, and proceeds to develop a high anion gap metabolic acidosis – i.e. a mixed acid–base disorder. [citation needed]
As with any buffer system, the pH is balanced by the presence of both a weak acid (for example, H 2 CO 3) and its conjugate base (for example, HCO − 3) so that any excess acid or base introduced to the system is neutralized.
In a solution where only CO 2 affects the pH, carbonate hardness can be used to calculate the concentration of dissolved CO 2 in the solution with the formula CO 2 = 3 × KH × 10 (7-pH), where KH is degrees of carbonate hardness and CO 2 is given in ppm by weight. [citation needed]
Anion gap can be classified as either high, normal or, in rare cases, low. Laboratory errors need to be ruled out whenever anion gap calculations lead to results that do not fit the clinical picture. Methods used to determine the concentrations of some of the ions used to calculate the anion gap may be susceptible to very specific errors.
The aquatic inorganic carbon system is composed of the various ionic, dissolved, solid, and/or gaseous forms of carbon dioxide in water. These species include dissolved carbon dioxide, carbonic acid, bicarbonate anion, carbonate anion, calcium carbonate, magnesium carbonate, and others.
Winters's formula, [1] named after R. W. Winters, [2] is a formula used to evaluate respiratory compensation when analyzing acid-base disorders in the presence of metabolic acidosis. [ 3 ] [ 4 ] It can be given as: