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What is normal HCO3?

Published in Blood Chemistry 2 mins read

Normal HCO3 (bicarbonate) levels in adults typically range from 23 to 29 milliequivalents per liter (mEq/L).

Here's a more detailed breakdown:

  • The Meaning of HCO3: Bicarbonate is a crucial component of the body's buffering system, helping to maintain a stable pH balance in the blood. It's regulated by the kidneys and plays a key role in acid-base homeostasis.

  • Normal Range: As stated above, the generally accepted normal range for HCO3 in adults is 23-29 mEq/L. Different laboratories may have slight variations in their reference ranges, so it's always important to refer to the specific lab's report for accurate interpretation.

  • Interpretation: HCO3 levels are usually interpreted in conjunction with other blood tests, such as arterial blood gases (ABGs) and electrolyte panels. These tests provide a comprehensive picture of a person's acid-base balance and overall electrolyte status.

  • High HCO3 Levels (Metabolic Alkalosis): Elevated bicarbonate levels can indicate metabolic alkalosis. This condition can be caused by factors such as:

    • Excessive vomiting
    • Certain medications (e.g., diuretics)
    • Kidney problems
    • Excessive antacid intake
  • Low HCO3 Levels (Metabolic Acidosis): Low bicarbonate levels can indicate metabolic acidosis. Possible causes include:

    • Kidney disease
    • Diabetic ketoacidosis (DKA)
    • Lactic acidosis
    • Severe diarrhea
  • Important Note: It's crucial to consult with a healthcare professional for accurate diagnosis and treatment if your HCO3 levels are outside the normal range. Self-treating based solely on lab results is not recommended.

In summary, a normal HCO3 level is generally between 23 and 29 mEq/L, but it's always interpreted within the context of other clinical findings and lab results by a qualified healthcare provider.

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