Which specialist consultations are beneficial to patients with metabolic acidosis, and what is the role of dialysis in metabolic acidosis?

Updated: Aug 20, 2020
  • Author: Antonia Quinn, DO; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Metabolic acidosis secondary to ingestions (eg, salicylate, methanol, ethylene glycol) often requires dialysis therapy, and a nephrologist should be consulted early in the case management. Toxicologic consultation should also be considered in such cases. Dialysis is the preferred treatment for patients with significant metabolic acidosis in the setting of renal failure.

A retrospective, cross-sectional study by Nogi et al indicated that intermittent hemodialysis can effectively lead to hemodynamic and respiratory stabilization in patients with septic shock complicated by metabolic acidosis. Following the procedure, mean arterial pressure in the study’s patients was found to have increased, minute ventilatory volume to have decreased, norepinephrine requirement to have decreased, bicarbonate level to have increased, and pH to have increased. [16]


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