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Metabolic Acidosis Treatment
- Sodium Bicarbonate - alkalinizing solutions to reduce the effect of the acidosis on cardiac function.
- IV for acute
- PO for chronic
- Treat underlying cause:
- DKA - insulin and fluids
- ETOH acidosis - glucose and saline
- Lactic Acidosis - treat underlying cause and improve tissue perfusion
- Renal failure
- Diarrhea - fluid and electrolyte replacement
- Monitor for decrease CO because of metabolic acidosis and hyperkalemia
- Monitor lab values, ABG, electrolytes, creatinine and BUN for renal
- Monitor for dysrhytmias
- further decrease CO intensify acidosis
- As PH falls, mental functioning declines leading to confusion, stupor and decreasing LOC
May lead to hypokalemia and metabolic alkalosis if bicarbonate is not watch closely. Can also cause hypernatremia, hyperosmolarity and hypervolemia.
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