Now metabolic acidosis
is a decrease in bicarb.
The most often you'll see, metabolic acidosis
and respiratory acidosis in your practice.
So these are the most common,
respiratory acidosis and metabolic acidosis.
Now common causes of metabolic acidosis are renal
failure, aspirin or antifreeze overdose, diarrhea or DKA.
Now we're serious about the antifreeze
overdose, you might think like that is weird,
but sadly, sometimes I seen homeless
patients come in because they drink antifreeze
So those are the most common causes of one of the most
common metabolic acidosis, pH imbalances that you'll see.
Renal failure, aspirin antifreeze,
diarrhea, DKA, so how do we fix it?
We've got to fix the underlying cause right, we've
got to address what threw them into this imbalance
and you also might consider and bicarb IV.
So we can actually give
bicarb as an IV medication.
What does the body do?
It increases that respiratory rate.
Earlier we talked about in DKA (diabetic
ketoacidosis), they have that Kussmaul's respirations,
that deep and fast, rapid breathing
rate so that helps you blow off CO2.
So we try to fix the underlying
cause whatever is going on,
Renal failure, we may
look at dialysis, etcetera
and the body responds by trying
to increase the respiratory rate.