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Correction of acid-base derangements

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Book cover Critical Care Nephrology

Abstract

Acid-base disorders, unless severe, usually pose little risk for patients and do not require urgent intervention. In mild cases, the physician should be less concerned about therapy than about why the disorder is present, since even minor acid-base disturbances can provide clues to the presence of serious underlying disease. On the other hand, when severe, an abnormal blood pH may itself threaten vital bodily functions and therefore demands prompt therapy aimed at correcting the acid-base imbalance. This chapter will discuss the management of these more severe disturbances. As will become apparent, the data used to support treatment recommendations are incomplete. Therefore, our recommendations in many cases will be based on clinical experience, rather than on clear evidence of improved outcomes.

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  1. Aaron Spital
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Spital, A., Garella, S. (1998). Correction of acid-base derangements. In: Critical Care Nephrology. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5482-6_27

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