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  • Causes of Metabolic Acidosis

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    Causes of metabolic acidosis according to mechanism and anion gap. Increased acid production Increased AG Lactic acidois Ketoacidosis Diabetes mellitus Starvation Alcohol-associated Ingestions Methanol Ethylene glycol Aspirin Toluene (if early) loss of bicarbonate or bicarbonate precursors Diarrhea or other intestinal losses (eg, tube drainage) decreased renal acid excretion chronic kidney disease Some cases of chronic kidney disease Type 1

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    Causes of metabolic acidosis according to mechanism and anion gap. Increased acid production Increased AG Lactic acidois Ketoacidosis Diabetes mellitus Starvation Alcohol-associated Ingestions Methanol Ethylene glycol Aspirin Toluene (if early) loss of bicarbonate or bicarbonate precursors Diarrhea or other intestinal losses (eg, tube drainage) decreased renal acid excretion chronic kidney disease Some cases of chronic kidney disease Type 1

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    22 vistas1 página

    Causes of Metabolic Acidosis

    Cargado por

    fcarcamo
    Causes of metabolic acidosis according to mechanism and anion gap. Increased acid production Increased AG Lactic acidois Ketoacidosis Diabetes mellitus Starvation Alcohol-associated Ingestions Methanol Ethylene glycol Aspirin Toluene (if early) loss of bicarbonate or bicarbonate precursors Diarrhea or other intestinal losses (eg, tube drainage) decreased renal acid excretion chronic kidney disease Some cases of chronic kidney disease Type 1

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    03/04/2011 Causes of metabolic acidosis

    Offic ial reprint from UpToDate®


    www.uptodate.com
    ©2011 UpToDate®

    Major causes of metabolic acidosis according to mechanism and anion gap

    Mechanism of acidosis Increased AG Normal AG


    Increased acid production Lactic acidosis

    Ketoacidosis

    Diabetes mellitus

    Starvation

    Alcohol-associated

    Ingestions

    Methanol

    Ethylene glycol

    Aspirin

    Toluene (if early) Toluene ingestion (if late due to urinary


    excretion of hippurate)

    Pyroglutamic acid (5-


    oxoproline)

    Loss of bicarbonate or Diarrhea or other intestinal losses (eg,


    bicarbonate precursors tube drainage)

    Type 2 (proximal) renal tubular acidosis


    (RTA)

    Posttreatment of ketoacidosis

    Carbonic anhydrase inhibitors

    Ureteral diversion (eg, ileal loop)

    Decreased renal acid Chronic kidney Some cases of chronic kidney disease
    excretion disease
    Type 1 (distal) RTA

    Type 4 RTA (hypoaldosteronism)

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