Metabolic acidosis medical therapy: Difference between revisions
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== | ==Overview== | ||
A pH under 7.1 is an emergency, due to the risk of [[cardiac arrhythmia]]s, and may warrant treatment with intravenous bicarbonate. Bicarbonate is given at 50-100 mmol at a time under scrupulous monitoring of the arterial blood gas readings. This intervention however, is not effective in case of [[lactic acidosis]]. | A pH under 7.1 is an emergency, due to the risk of [[cardiac arrhythmia]]s, and may warrant treatment with intravenous bicarbonate. Bicarbonate is given at 50-100 mmol at a time under scrupulous monitoring of the arterial blood gas readings. This intervention however, is not effective in case of [[lactic acidosis]]. | ||
If the acidosis is particularly severe and/or there may be intoxication, consultation with the [[nephrology]] team is considered useful, as [[dialysis]] may clear both the intoxication and the acidosis. | If the acidosis is particularly severe and/or there may be intoxication, consultation with the [[nephrology]] team is considered useful, as [[dialysis]] may clear both the intoxication and the acidosis. | ||
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{{WS}} | {{WS}} | ||
[[Category: | [[Category:Electrolyte disturbance]] | ||
[[Category:Inborn errors of metabolism]] | |||
[[Category:Medical tests]] | |||
[[Category:Laboratory Test]] | |||
[[Category:Nephrology]] | [[Category:Nephrology]] | ||
[[Category:Intensive care medicine]] | |||
[[Category:Emergency medicine]] | |||
Revision as of 19:56, 15 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A pH under 7.1 is an emergency, due to the risk of cardiac arrhythmias, and may warrant treatment with intravenous bicarbonate. Bicarbonate is given at 50-100 mmol at a time under scrupulous monitoring of the arterial blood gas readings. This intervention however, is not effective in case of lactic acidosis. If the acidosis is particularly severe and/or there may be intoxication, consultation with the nephrology team is considered useful, as dialysis may clear both the intoxication and the acidosis.