Metabolic acidosis laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Laboratory Findings

The following laboratory studies should be considered:

• Arterial blood gas sampling
• Anion gap
• Serum lactate, ketone
• Toxicological screening, salicylate level (methanol or ethylene glycol)
• ECG (to assess for arrhythmias)
• Electrolytes basic metabolic panel), complete blood count.
• Urinalysis can reveal acidity, (salicylate poisoning) or alkalinity (renal tubular acidosis type I), and ketones in ketoacidosis.
• Imaging of the kidneys