compensated respiratory alkalosis

com·pen·sat·ed res·pi·ra·to·ry al·ka·lo·sis

increased excretion of acid ions by the kidney to minimize the effect on blood pH of excessive loss of carbon dioxide through the lungs, such as occurs with hyperventilation.

com·pen·sat·ed res·pi·ra·to·ry al·ka·lo·sis

(kompĕn-sā-tĕd respir-ă-tōr-ē alkă-lōsis)
Increased excretion of acid ions by the kidney to minimize the effect on blood pH of excessive loss of carbon dioxide through the lungs.
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Biochemical analysis in the patient revealed hyperammonemia (138.1 [micro]mol/L, normal value: 27.2-102 [micro]mol/L), which was persistent, with partially compensated respiratory alkalosis. High-performance liquid chromatography (HPLC) measurement of serum amino acids revealed high levels of glycine (559mmol/L; normal value up to 426 [micro]mol/L), alanine (1090 [micro]mol/L; normal value up to 474 [micro]mol/L), ornithine (132 [micro]mol/L; normal value up to 130 [micro]mol/L), and glutamine (1464 [micro]mol/L; normal value up to 426 [micro]mol/L) and revealed lower plasma levels of citrulline (4 [micro]mol/L; normal value: 9-38) and a higher urine orotic acid at 4.7 mmol/mol and creatinine (normal value: 1.0-3.2 mmol/mol creatinine).
The patient is in partially compensated respiratory alkalosis. The compensation is partial because the pH is still above 7.45 (Huether, 2002).