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Sodium Bicarbonate Therapy in Patients with Metabolic Acidosis
Joint Authors
Fernández-Fernández, Carlos
Mouriño-Bayolo, David
Castro-Quintela, Elvira
Domínguez-Montero, Alberto
Adeva-Andany, María M.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-21
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Metabolic acidosis occurs when a relative accumulation of plasma anions in excess of cations reduces plasma pH.
Replacement of sodium bicarbonate to patients with sodium bicarbonate loss due to diarrhea or renal proximal tubular acidosis is useful, but there is no definite evidence that sodium bicarbonate administration to patients with acute metabolic acidosis, including diabetic ketoacidosis, lactic acidosis, septic shock, intraoperative metabolic acidosis, or cardiac arrest, is beneficial regarding clinical outcomes or mortality rate.
Patients with advanced chronic kidney disease usually show metabolic acidosis due to increased unmeasured anions and hyperchloremia.
It has been suggested that metabolic acidosis might have a negative impact on progression of kidney dysfunction and that sodium bicarbonate administration might attenuate this effect, but further evaluation is required to validate such a renoprotective strategy.
Sodium bicarbonate is the predominant buffer used in dialysis fluids and patients on maintenance dialysis are subjected to a load of sodium bicarbonate during the sessions, suffering a transient metabolic alkalosis of variable severity.
Side effects associated with sodium bicarbonate therapy include hypercapnia, hypokalemia, ionized hypocalcemia, and QTc interval prolongation.
The potential impact of regular sodium bicarbonate therapy on worsening vascular calcifications in patients with chronic kidney disease has been insufficiently investigated.
American Psychological Association (APA)
Adeva-Andany, María M.& Fernández-Fernández, Carlos& Mouriño-Bayolo, David& Castro-Quintela, Elvira& Domínguez-Montero, Alberto. 2014. Sodium Bicarbonate Therapy in Patients with Metabolic Acidosis. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-13.
https://search.emarefa.net/detail/BIM-1050409
Modern Language Association (MLA)
Adeva-Andany, María M.…[et al.]. Sodium Bicarbonate Therapy in Patients with Metabolic Acidosis. The Scientific World Journal No. 2014 (2014), pp.1-13.
https://search.emarefa.net/detail/BIM-1050409
American Medical Association (AMA)
Adeva-Andany, María M.& Fernández-Fernández, Carlos& Mouriño-Bayolo, David& Castro-Quintela, Elvira& Domínguez-Montero, Alberto. Sodium Bicarbonate Therapy in Patients with Metabolic Acidosis. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-13.
https://search.emarefa.net/detail/BIM-1050409
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1050409