The rational use of i.v. hydrochloric acid in the treatment of metabolic alkalosis.

Abstract:

:A method for the assessment and management of factors both causing and maintaining a primary metabolic alkalosis is presented. During a 2-year period 65 patients with metabolic alkalosis were treated with saline and potassium chloride infusions. In four patients the alkalosis was refractory and required additional therapy. An infusion of hydrochloric acid 0.12-0.24 mol/litre through a central venous line corrected the alkalosis without causing haemolysis or tissue necrosis. The maximum rate of infusion suggested is 0.2 mmol H+-kg body wt-1-h-1.

journal_name

Br J Anaesth

authors

Worthley LI

doi

10.1093/bja/49.8.811

subject

Has Abstract

pub_date

1977-08-01 00:00:00

pages

811-7

issue

8

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)45411-0

journal_volume

49

pub_type

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