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PedMed Alkalinization for salicylate toxicity: 150 mmol added to 1 L suitable IV fluid (e g D5W with 40 mmol L KCl) Children: infuse at 1 5-2 times maintenance fluid rate; titrate to goal pH Adolescents and adults: 150-300 mL h Acidosis of chronic renal failure: Children: 1-3 mmol kg day PO in divided doses Adults: 20-36 mmol day PO in divided doses Renal tubular acidosis (Distal): Children: 2-3
Acid-base assessment and treatment of severe abnormalities (Proceedings) So anion gap divided the causes of metabolic acidosis into two broad categories: high anion gap acidoses (the "addition" acidoses: lactic acidosis, ketoacidosis, renal failure acidosis, intoxicant acidosis) and normal anion gap acidoses (vomiting, diarrhea, renal tubular acidosis)
To Bicarb or Not to Bicarb? — NYP Emergency Medicine Residency Anion Gap Metabolic Acidosis - Bicarbonate will not fix the underlying problem, and can worsen the clinical picture by causing fluid overload, hypokalemia, respiratory acidosis, hypernatremia, and increased lactate production among other complications 1
Hypertensive emergency antihypertensive medications - EMCrit Project CONTENTS #1) approach to hypertensive emergencies [1] Is there a known cause of the HTN? [2] Is this actually a hypertensive emergency? [3] Re-evaluation for an underlying cause of the HTN [4] Control Bp with IV antihypertensive agents [5] Transition to oral antihypertensives Background Use the MAP Pathophysiology of malignant hypertension Hypertensive urgency #2) antihypertensive […]
Is Bicarbonate Therapy Useful? Despite concerns about the negative effects of metabolic acidosis, there is minimal evidence that sodium bicarbonate administration is an effective treatment In addition, sodium bicarbonate therapy is associated with many adverse effects, including paradoxic intracellular acidosis, hypokalemia, hypocalcemia, hypernatremia, and hyperosmolality
Everything You Need to Know About Metabolic Acidosis Metabolic acidosis is a condition in which acid builds up in the body due to a problem in your cells that throws off the chemical balance in your blood Learn more
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