Metabolic acidosis: Difference between revisions
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** RTA Type II | ** RTA Type II | ||
** Acetazolamide | ** Acetazolamide | ||
** Acute diarrhea | ** Acute diarrhea | ||
*** May be assoc with gap if hypoperfusion -> lactic acidosis) | |||
==Treatment== | ==Treatment== | ||
Revision as of 20:15, 2 March 2011
Types
1. Gap
- Lactic acidosis
- Renal failure
- Ketoacidosis
- DM
- ETOH
- Starvation
- High fat diet
- Tox ingestion
- Inc osm gap
- Methanol
- Ethylene glycol
- Nl osm gap
- Salicylate
- Paraldehyde
- Cyanide
- Inc osm gap
2. Non-gap
- Hyperkalemia
- Resolving DKA
- Early uremic acidosis
- Early obstructive
- RTA Type IV
- Hypoaldo
- K-sparing diuretics
- Hypokalemia
- RTA Type I
- RTA Type II
- Acetazolamide
- Acute diarrhea
- May be assoc with gap if hypoperfusion -> lactic acidosis)
Treatment
Bicarbonate Indications
1) Bicarb <4
2) pH <7.20 + Sx shock/myocardial irritability
3) Severe hyperchloremic acidemia + Sx shock/myocardial irritability
Source
2/21/06 DONALDSON (adapted from Tintinalli)