Lactic acidosis physical examination
There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination.
- Look for signs of hypovolemic, cardiogenic, septic or toxic shock.
- To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, tachypnea, confusion, peripheral shutdown (check capillary refill) and oliguria.
- Look for evidence of a septic focus and hyperthermia, or even hypothermia in advanced sepsis.
- Kussmaul's breathing (rhythmic, deep, gasping breaths at normal or reduced frequency) indicates severe acidosis with attempted respiratory compensation
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