We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Extreme metabolic alkalosis in intensive care.
- Authors
Tripathy, Swagata
- Abstract
Metabolic alkalosis is a commonly seen imbalance in the intensive care unit (ICU). Extreme metabolic alkalemia, however, is less common. A pH greater than 7.65 may carry a high risk of mortality (up to 80%). We discuss the entity of life threatening metabolic alkalemia by means of two illustrative cases - both with a pH greater than 7.65 on presentation. The cause, modalities of managing and complications of this condition is discussed from the point of view of both the traditional method of Henderson and Hasselbalch and the mathematical model based on physiochemical model described by Stewart. Special mention to the pitfalls in managing patients of metabolic alkalosis with concomitant renal compromise is made.
- Subjects
ALKALOSIS; INTENSIVE care units; CHRONIC kidney failure; METABOLIC disorder treatment; MATHEMATICAL models; THERAPEUTICS
- Publication
Indian Journal of Critical Care Medicine, 2009, Vol 13, Issue 4, p217
- ISSN
0972-5229
- Publication type
Case Study
- DOI
10.4103/0972-5229.60175