A 45-year-old diabetic has entered the hospital. Routine blood work shows that his blood pH is dropping and is currently at 7.3 (normal blood pH is about 7.4). Explain what could be occurring in the kidneys to cause a drop in blood pH. If the acidosis cannot be reversed quickly, what type of immediate treatment might the patient need to restore kidney function? There are two types of this treatment. How do they differ from each other? What sorts of complications might be expected?
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