Acid–Base Disturbances

Chapter

Abstract

Step 1: Is there an acid–base disorder? Look at the PaCO2 and the HCO3 to determine whether they are in the normal range (see Table 43-1). If abnormal, go to step 2; if normal, go to step 5.

Keywords

Attenuation Lactate Corticosteroid Ketone Arginine 

References

  1. 1.
    Aschner JL, Poland RL. Sodium bicarbonate: basically useless therapy. Pediatrics. 2008;122:831–835.PubMedCrossRefGoogle Scholar
  2. 2.
    Boyd JH, Walley KR. Is there a role for sodium bicarbonate in treating lactic acidosis from shock. Curr Opin Crit Care. 2008;14:379–383.PubMedCrossRefGoogle Scholar
  3. 3.
    Green SM, Rothrock SG, Ho JD, et al. Failure of adjunctive bicarbonate to improve outcome in severe pediatric diabetic ketoacidosis. Ann Emerg Med. 1998;31:41–48.PubMedCrossRefGoogle Scholar
  4. 4.
    Marik PE, Kussman BD, Lipman J, et al. Acetazolamide in the treatment of metabolic alkalosis in critically ill patients. Heart Lung. 1991;20: 455–459.PubMedGoogle Scholar
  5. 5.
    Mazur JE, Devlin JW, Peters MJ, et al. Single versus multiple doses of acetazolamide for metabolic alkalosis in critically ill medical patients: a randomized, double-blind trial. Crit Care Med. 1999;27:1257–1261.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Division of Pulmonary and Critical Care MedicineEastern Virginia Medical SchoolNorfolkUSA

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