In patients with impaired expiration associated with emphysema, effective compensation for the acid-base imbalance would be:

In patients with impaired expiration associated with emphysema, powerful reimbursement for the acid-base imbalance would be: decreased urine pH and expanded serum bicarbonate.
If unchecked, metabolic acidosis leads to acid, blood pH is low due to a multiplied production of hydrogen ions with the aid of the frame or the incapacity of the frame to form bicarbonate within the kidney.