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Acute metabolic acid-base disorders.

L J Riley1, B E Ilson, R G Narins

  • 1Hemodialysis Unit, Temple University Health Sciences Center, Philadelphia, Pennsylvania.

Critical Care Clinics
|October 1, 1987
PubMed
Summary
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This article provides a practical guide to managing metabolic acid-base disorders in intensive care units. It focuses on clinical scenarios, diagnostic clues, and therapeutic goals for critically ill patients.

Area of Science:

  • Critical Care Medicine
  • Nephrology
  • Internal Medicine

Background:

  • Metabolic acid-base disturbances are frequent complications in intensive care unit (ICU) patients.
  • These disorders present significant challenges for intensivists, surgeons, and anesthesiologists.

Purpose of the Study:

  • To present a systematic approach for managing metabolic acid-base disorders in the ICU setting.
  • To focus on practical aspects including clinical scenarios, diagnostic clues, and therapeutic goals.

Main Methods:

  • Systematic review of common metabolic acid-base disorders in ICU patients.
  • Discussion of clinical presentations, diagnostic strategies, and management objectives.
  • Inclusion of controversial therapeutic topics.

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Main Results:

  • A structured approach to metabolic acid-base disorders is outlined.
  • Emphasis is placed on practical application in critical care settings.
  • Key diagnostic indicators and treatment targets are highlighted.

Conclusions:

  • Effective management of metabolic acid-base disorders in the ICU requires a systematic and practical approach.
  • Understanding clinical scenarios, diagnostic clues, and therapeutic goals is crucial.
  • Further discussion on controversial therapeutic aspects is warranted.