Treatments for Acidosis
Treatments for Acidosis
The list of treatments mentioned in various sources
for Acidosis
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Acidosis: Research Doctors & Specialists
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Acidosis:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Acidosis include:
Buy Products Related to Treatments for Acidosis
Book Excerpts: Treatment of Acidosis
Treatments of Acidosis: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the treatments of Acidosis.
Metabolic Acidosis:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
If primary respiratory process identified, then treat the cause and the acidosis will resolve over time
-
Dehydration: Oral or IV fluid replacement; even with normalization of fluid status, improvement in serum bicarbonate may not occur for 2–3 days
-
For primary metabolic process
–Estimate deficit =20
– [HCO3] ×Weight (kg) ×0.5
–Replace over 24–48 hours with oral bicarbonate (e.g. bicitra solution 1 cc =1 meq) or IV bicarbonate added to IV fluids; IV sodium bicarbonate “boluses” should be avoided unless acidosis is severe or symptomatic
-
Increased AG acidosis: Identify and treat cause
-
Distal or proximal RTA: Usually requires bicarbonate supplementation
-
Hyperkalemic RTA: Correct serum bicarbonate, increase fluids to improve sodium delivery to distal tubule to enhance potassium secretion
>
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Breath with fruity odor:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
When you detect fruity breath odor, check for Kussmaul's respirations and examine the patient's level of consciousness (LOC). Take his vital signs and check skin turgor. Be alert for fruity breath odor that accompanies rapid, deep respirations; stupor; and poor skin turgor. Try to obtain a brief history, noting especially diabetes mellitus, nutritional problems such as anorexia nervosa, and fad diets with little or no carbohydrates. Obtain venous and arterial blood samples for glucose, complete blood count, and electrolyte, acetone, and arterial blood gas (ABG) levels. Also obtain a urine specimen to test for glucose and acetone. Administer I.V. fluids and electrolytes to maintain hydration and electrolyte balance and, in the patient with diabetic ketoacidosis, give regular insulin to reduce blood glucose levels.
If the patient is obtunded, you'll need to insert endotracheal and nasogastric (NG) tubes. Suction as needed. Insert an indwelling urinary catheter, and monitor intake and output. Insert central venous pressure and arterial lines to monitor the patient's fluid status and blood pressure. Place the patient on a cardiac monitor, monitor his vital signs and neurologic status, and draw blood hourly to check glucose, electrolyte, acetone, and ABG levels.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Metabolic acidosis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
In metabolic acidosis, treatment consists of administration of sodium bicarbonate I.V. for severe cases, evaluation and correction of electrolyte imbalances and, ultimately, correction of the underlying cause. For example, in diabetic ketoacidosis, a low-dose continuous I.V. infusion of insulin is recommended.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Renal tubular acidosis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Supportive treatment for patients with RTA requires replacement of those substances being abnormally excreted, especially bicarbonate, and may include sodium bicarbonate tablets or solution to control acidosis. Potassium may be given by mouth for dangerously low potassium levels. Vitamins D and calcium supplements are usually avoided because the tendency toward nephrocalcinosis persists even after bicarbonate therapy. If pyelonephritis occurs, treatment may include antibiotics as well.
Treatment for renal calculi secondary to nephrocalcinosis varies and may include supportive therapy until the calculi pass or until surgery for severe obstruction is performed.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Respiratory acidosis:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Mechanical ventilation, bronchodilators, corticosteroids, or antibiotics to treat underlying source of hypoventilation
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Breath with fruity odor:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
When you detect fruity breath odor, check for Kussmaul’s respirations and examine the patient’s level of consciousness (LOC). Take vital signs and check skin turgor. Be alert for fruity breath odor that accompanies rapid, deep respirations; stupor; and poor skin turgor. Try to obtain a brief history, noting especially diabetes mellitus, nutritional problems such as anorexia nervosa, and fad diets with little or no carbohydrates. Obtain venous and arterial blood samples for complete blood count and glucose, electrolyte, acetone, and arterial blood gas (ABG) levels. Also obtain a urine specimen to test for glucose and acetone. Administer I.V. fluids and electrolytes to maintain hydration and electrolyte balance, and give regular insulin to patients with diabetic ketoacidosis to reduce blood glucose levels.
If the patient is obtunded, you’ll need to insert endotracheal and nasogastric (NG) tubes. Suction as needed. Insert an indwelling urinary catheter, and monitor intake and output. Insert central venous pressure and arterial lines to monitor the patient’s fluid status and blood pressure. Connect the patient to a cardiac monitor, monitor vital signs and neurologic status, and draw blood hourly to check glucose, electrolyte, acetone, and ABG levels.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Renal tubular acidosis:
Treatment
(Handbook of Diseases)
Supportive treatment of patients with RTA requires replacement of those substances being abnormally excreted, especially bicarbonate. It may include alkaline medications, such as potassium citrate and sodium bicarbonate, to control acidosis, and oral potassium to treat dangerously low potassium levels. If pyelonephritis occurs, treatment may include an antibiotic as well.
CLINICAL TIP: Vitamin D and calcium supplements aren’t usually given because the tendency toward nephrocalcinosis persists even after bicarbonate therapy.
Treatment of renal calculi secondary to nephrocalcinosis varies and may include supportive therapy until the calculi pass or until surgery for severe obstruction is performed.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Respiratory acidosis:
Treatment
(Handbook of Diseases)
Effective treatment of respiratory acidosis is designed to correct the underlying source of alveolar hypoventilation. Significantly reduced alveolar ventilation may require mechanical ventilation until the underlying condition can be treated.
In patients with COPD, treatment includes a bronchodilator, oxygen, a corticosteroid and, commonly, an antibiotic; drug therapy for conditions such as myasthenia gravis; removal of foreign bodies from the airway; an antibiotic for pneumonia; dialysis or charcoal to remove toxic drugs; and correction of metabolic alkalosis. An elevated Paco2 may persist in a patient with COPD despite optimal treatment.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Breath odor, fruity:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Monitor fluid status. Perform neurologic and respiratory assessments. Provide emotional support for the patient and his family. Explain tests and treatments clearly. When the patient is more alert and his condition stabilizes, remove the NG tube and start him on an appropriate diet. Switch his insulin from the I.V. to the subcutaneous route.
Patient teaching
Teach the patient and provide appropriate referrals. For example, teach the patient with uncontrolled diabetes mellitus to recognize the signs of hyperglycemia and to wear a medical identification bracelet. Refer the patient with anorexia nervosa to a psychologist or a support group, and recognize the need for possible long-term follow-up.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Breath with fruity odor:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient and make referrals appropriately. For example, teach the patient with uncontrolled diabetes mellitus to recognize the signs of hyperglycemia and to wear a medical identification bracelet. Refer the patient with starvation ketoacidosis to a psychologist or a support group, and recognize the need for possible long-term follow-up.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Breath with fruity odor:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Provide emotional support for the patient and his family.
▪ When the patient is more alert and his condition stabilizes, remove the NG tube and start him on an appropriate diet.
▪ Switch his insulin from the I.V. to the subcutaneous route.
Patient teaching
▪ Explain tests and treatments to the patient.
▪ Discuss the signs and symptoms of hyperglycemia and actions to take.
▪ Emphasize the importance of wearing medical identification.
▪ Refer the patient with starvation ketoacidosis to a psychologist or support group.
▪ Teach the patient about the cause of fruity breath odor after a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Germs are a fact of life and catching an infectious disease like a cold may seem inevitable. But there are simple ways to protect yourself against...
Sexual contact can sometimes result in problems. An unwanted pregnancy or sexually transmitted diseases may be some of those consequences. But by...
Stress takes its toll by making us anxious, depressed and not able to function as fully as we'd like. What many don't know is that stress can...
Sleep is necessary to feel refreshed, but now we know sleep actually impacts the way the body functions. Sleeping poorly can affect how often you get...
See full list of 4 related videos
» Next page: Doctors and Medical Specialists for Acidosis
Rate This Website
What do you think about the features of this website?
Take our user survey and have your say:
Website User Survey
Medical Tools & Articles:
Next articles:
Tools & Services:
Medical Articles:
Forums & Message Boards
- Ask or answer a question at the Boards:
