Metabolic acidosis natural history, complications and prognosis: Difference between revisions

Jump to navigation Jump to search
Line 23: Line 23:
*severe acidosis can also result in shock and rarely death
*severe acidosis can also result in shock and rarely death


'''<u>COMPLICATIONS FROM USE OF BICARBONATES:</u>'''
Caution with bicarbonate therapy is indicated because of its potential complications, including the following:
* Volume overload
* Hypokalemia
* CNS acidosis
* Hypercapnia
* Tissue hypoxia via leftward shift of hemoglobin-oxygen dissociation curve
* Alkali stimulation of organic acidosis (lactate)
* Overshoot alkalosis
<br />
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 14:54, 19 February 2021



Resident
Survival
Guide
File:Physician Extender Algorithms.gif

Metabolic acidosis Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating Metabolic Acidosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Metabolic acidosis natural history, complications and prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Metabolic acidosis natural history, complications and prognosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Metabolic acidosis natural history, complications and prognosis

CDC on Metabolic acidosis natural history, complications and prognosis

Metabolic acidosis natural history, complications and prognosis in the news

Blogs on Metabolic acidosis natural history, complications and prognosis

Directions to Hospitals Treating Metabolic acidosis

Risk calculators and risk factors for Metabolic acidosis natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Prognosis and recovery of Metabolic Acidosis is dependent on the causative factor. Appropriate and timely treatment takes time but help in recovery. Some people totally recover from Metabolic Acidosis whereas others may develop

  • Cardiovascular System: Dec contractility, Arterial vasodilatation, Dec MAP, Dec CO, Dec response to Catecholamine, Inc risk of arrhythmias
  • Respiratory System: Hyperventilation(compensatory), Dec Respiratory Muscle Strength, Metabolic Acidosis Increase Potassium(Due to H+/K+ pump exchanging excess H+ with Intracellular K+)
  • Neurological: Altered Mental Status
  • Multiple organ dysfunction
  • Renal System: Renal failure, Kidney stones
  • Musculoskeletal: Bone disease, delayed growth
  • severe acidosis can also result in shock and rarely death


COMPLICATIONS FROM USE OF BICARBONATES:

Caution with bicarbonate therapy is indicated because of its potential complications, including the following:

  • Volume overload
  • Hypokalemia
  • CNS acidosis
  • Hypercapnia
  • Tissue hypoxia via leftward shift of hemoglobin-oxygen dissociation curve
  • Alkali stimulation of organic acidosis (lactate)
  • Overshoot alkalosis


References

Template:WH Template:WS