Advertisement

Intensive Care Medicine

, Volume 8, Issue 6, pp 301–303 | Cite as

Prolonged intravenous hydrochloric acid infusion for severe metabolic alkalosis

  • R. I. Reisman
  • V. K. Puri
Case Reports

Abstract

A 56-year-old man developed severe metabolic alkalosis in association with postoperative oliguric renal failure. Marked hypercapnia and metabolic alkalosis were successfully treated by a 17 day infusion of hydrochloric acid. Correction of metabolic alkalosis by intravenous HCL infusion, even as long term therapy, appears to be safe.

Key words

Metabolic alkalosis Intravenous HCL 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Abouna GM, Veazey PR, Terry DB Jr. (1974) Intravenous infusion of hydrochloric acid for treatment of severe metabolic alkalosis. Surg 75:194–202Google Scholar
  2. 2.
    Elkinton RJ, Danowski TS (1955) The body fluids. The Williams and Wilkins Co.Google Scholar
  3. 3.
    Mitchell JH, Wildenthal K, Johnson RL Jr (1972) The effects of acid base disturbance on cardiovascular pulmonary function. Kidney Int 1:375–389Google Scholar
  4. 4.
    Rowlands BJ, Tindall SF, Elliot DJ (1978) The use of dilute hydrochloric acid cimetidine to reverse severe metabolic alkalosis. Post Grad Med 54:118–123Google Scholar
  5. 5.
    Williams DB, Lyons JH, Jr (1980) Treatment of severe metabolic alkalosis with intravenous infusion of hydrochloric acid. Surg Gynecol Obstet 150:315–321Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • R. I. Reisman
    • 1
  • V. K. Puri
    • 1
  1. 1.Critical Care CenterMount Carmel Mercy HospitalDetroitUSA

Personalised recommendations