Metabolic acidosis medical therapy: Difference between revisions
Gerald Chi (talk | contribs) No edit summary |
No edit summary |
||
| Line 17: | Line 17: | ||
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. | ||
====Contraindicated medications==== | |||
{{MedCondContrAbs | |||
|MedCond =Metabolic acidosis|Glyburide and Metformin}} | |||
==References== | ==References== | ||
Revision as of 16:38, 16 October 2014
 |
Resident Survival Guide |
| File:Physician Extender Algorithms.gif |
|
Metabolic acidosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Metabolic acidosis medical therapy On the Web |
|
American Roentgen Ray Society Images of Metabolic acidosis medical therapy |
|
Risk calculators and risk factors for Metabolic acidosis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.
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.
Contraindicated medications
Metabolic acidosis is considered an absolute contraindication to the use of the following medications: