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Electrolytes and acid–base

Winter's formula

Expected respiratory compensation range for an established metabolic acidosis.

Intended population: Metabolic acidosis with bicarbonate 7–22 mmol/L, the range where this approximation performs best.

  • Compare with measured arterial PaCO₂ and the full acid–base assessment to assess mixed disorders. Does not diagnose acidosis or specify ventilator settings; severe acidosis outside this range requires a different assessment.

Sources and scoring references

National Kidney Foundation: High Anion Gap Metabolic Acidosis, Core Curriculum 2021 ↗

Implementation references reviewed October 28, 2026. Verify applicability and unusual or treatment-changing results against the linked references and local guidance.

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