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What Medications Can Cause Metabolic Acidosis?

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Metabolic Acidosis

Metabolic acidosis is primary reduction in bicarbonate (HCO3−), typically with compensatory reduction in carbon dioxide partial pressure (Pco2); pH may be markedly low or slightly subnormal. Metabolic acidoses are categorized as high or normal anion gap based on the presence or absence of unmeasured anions in serum. Causes include accumulation of ketones and lactic acid, renal failure, and drug or toxin ingestion (high anion gap) and GI or renal HCO3− loss (normal anion gap). Symptoms and signs in severe cases include nausea and vomiting, lethargy, and hyperpnea. Diagnosis is clinical and with ABG and serum electrolyte measurement. The cause is treated; IV sodium bicarbonate may be indicated when pH is very low. Acidemia (arterial pH < 7.35) results when acid load overwhelms respiratory compensation. Causes are classified by their effect on the anion gap (see The Anion Gap and see Table: Causes of Metabolic Acidosis). High anion gap acidosis Ketoacidosis is a common complication of type 1 diabetes mellitus (see diabetic ketoacidosis), but it also occurs with chronic alcoholism (see alcoholic ketoacidosis), undernutrition, and, to a lesser degree, fasting. In these conditions, t Continue reading >>

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Popular Questions

  1. DIPSLICK

    I am back in to ketosis according to my sticks,,?.?? Only just after a week or so(since joberg2 c and sani2c ) high carbs due to uunavailbilty of fat during stage races, is this possible from eating correctly for only a week I have had no carb " flu" just back in ........possible???i was full LCHF for about 4 months prior

  2. htone

    'McD23', on 01 Jun 2013 - 12:13 PM, said:

    Hi guys,
    question, is pork crackling ( like chips ) the same as pork kraailing?
    I got some from Frankies Fenner's Meat Market ( klooff street , CT ).
    Where can I get Kraailing from?
    tx
    Kaaiings or Kaiings are usually small square pieces of deep-fried fat. In essence the same as crackling, just presented slightly differently. Interestingly because kaaiings are saturated animal fat, they can last for a long time outside of a refrigerator without going rancid, which makes them really handy as a carry-along source of fat.
    You can get them from Winelands Pork in Stikland, Bellville.
    http://www.wlpork.co.za/

  3. htone

    'dipslick', on 02 Jun 2013 - 1:18 PM, said:

    I am back in to ketosis according to my sticks,,?.?? Only just after a week or so(since joberg2 c and sani2c ) high carbs due to uunavailbilty of fat during stage races, is this possible from eating correctly for only a week I have had no carb " flu" just back in ........possible???i was full LCHF for about 4 months prior
    Because you had been on a fairly strict LCHF regime prior to this, it means that you became properly adapted. Your "second engine" is built and ready, you just needed to switch it on again.
    I have had some horror weekends w.r.t. carbs and I am back into ketosis in under 3 days every time. Just shows that being a little strict initially does pay dividends in the long run - now you can have those "cheat days" and you don't have to go through re-adaptation. Just keep the cheat days to days and not weeks....

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