Consequences-of-Severe-Acid-Base-Disturbances
(NEJM 1998;338:26 & 107)
cardiovascular consequences-of-Severe-Acid-Base-Disturbances
Respiratory
- Acidemia (pH <7.20)
- Hyperventilation, ↓ resp. muscle strength
- Alkalemia (pH >7.60)
- Hypoventilation
Metabolic
- Acidemia (pH <7.20)
- ↑ K (resp. > metab.), insulin resistance
- Alkalemia (pH >7.60)
- ↓ K, Ca, Mg, PO4
Neurologic
- Acidemia (pH <7.20)
- Δ MS
- Alkalemia (pH >7.60)
- Δ MS, seizures, tetany