Acid-Base Disturbances: An Emergency Department Approach | Digest
0
TOC Will Appear Here

Acid-Base Disturbances: An Emergency Department Approach

Below is a free preview. Log in or subscribe for full access. Or, get a free sample article Emergency Department Management of Abnormal Uterine Bleeding in the Nonpregnant Patient:
Please provide a valid email address.

*NEW* Quick Search this issue!

Point and Pearls Excerpt

  • The bicarbonate buffer system is the predominant buffer system maintained via actions of the kidneys and lungs: CO2 + H2O = H2CO3 = HCO3- + H+
  • Ventilatory compensation begins within minutes, but takes up to 24 hours for maximal effect; the renal response occurs over hours to days.
  • Lactate accumulates due to tissue hypoxia and aerobic glycolysis. Type A lactic acidosis refers to that characterized by poor perfusion and acute hypoxia; type B lactic acidosis occurs in the absence of overt hypoperfusion or hypoxia.
  • Mortality associated with hyperlactatemia occurs more often when buffer systems can no longer compensate and a lactic acidosis ensues.

Most Important References

To Read The Companion Article:
To Read The Companion Article:
To Read The Companion Article:
Publication Information
Authors

Michael Boniface, MD; Ivan Porter, MD

Peer Reviewed By

Daniel J. Egan, MD; Gabriel Wardi, MD, MPH

Publication Date

June 1, 2020

CME Expiration Date

June 1, 2023    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits

Pub Med ID: 32470246

Get Permission

Already purchased this course?
Log in to read.
Purchase a subscription

Price: $449/year

140+ Credits!

Purchase Issue & CME Test

Price: $59

+4 Credits!

Money-back Guarantee
Publication Information
Authors

Michael Boniface, MD; Ivan Porter, MD

Peer Reviewed By

Daniel J. Egan, MD; Gabriel Wardi, MD, MPH

Publication Date

June 1, 2020

CME Expiration Date

June 1, 2023

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits

Pub Med ID: 32470246

Get Permission

CME Information

Content You Might Be Interested In

Current Practice and Pitfalls of Select Biomarkers in the Emergency Care of Children

Ventilator Management of Adult Patients in the Emergency Department

Diabetic Hyperglycemic Emergencies: A Systematic Approach (Pharmacology CME)

Recognizing and Managing Adrenal Disorders in the Emergency Department