What are possible complications of alkali therapy for metabolic acidosis?

Updated: Oct 10, 2018
  • Author: Christie P Thomas, MBBS, FRCP, FASN, FAHA; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Volume overload can be a consequence of alkali therapy. Loop diuretics can be used in these circumstances.

Another consequence of treatment with NaHCO3 is a rise in PaCO2. This can become a very important factor in patients who have reduced ventilatory reserve.


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