Metabolic Acidosis

Metabolic Acidosis : 

Causes: 

• 1)Aspirin poisoning
• 2)DKA
• 3)RTA (renal tubular acidosis)
• 4)AKI
• 5) Diarrhoea
• 6)CKD

Parametter:

• pH=  less then 7.4 
  
• HCO3- = less then 22 mEq /L 
  

Clinical Features:

• 1)Confusion.
• 2)Fast heartbeat.
• 3)Feeling sick to your stomach.
• 4)Headache.
• 5)Long and deep breaths.
• 6)Not wanting to eat.
• 7)Vomiting.
• 9)Feeling tired.

Investigation : 

• 1) ABG 
• 2) Anaion Gap 
• 3)Serum electrolyte 
• 4) RBS 
• 5)LFT 
• 6)Serum creatinine
• 7) Ketone body 

Rx: 

• Treatment of Underlying cause 
  
• oral or intravenous sodium bicarbonate to raise blood pH.
  
•  sodium citrate to treat metabolic acidosis due to distal renal tubular acidosis.
  
• insulin and intravenous fluids to treat ketoacidosis.
  
•  renal replacement therapy (dialysis)