<prompt> Acute metabolic acidosisHas biphasic effect on K exceionDoes not effect K excretion significantlyDecreases urinary K exceionIncreases urinary K excretion  <response>: It is seen in low anion gap acidosis. Other features seen: low serum albumin nephrotic syndrome. High immunoglobulins multiple myeloma Increaed Li Increaed : K, Ca2, Mg2 Ref: Harrison;s 19thE 