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Adverse haemodynamic effects of sodium bicarbonate in metabolic acidosis (1987)

Cooper, D. J. ; Worthley, L. I. G.

Springer

Intensive care medicine 13 (1987), S. 425-427

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ISSN: 1432-1238

Keywords: Metabolic acidosis ; Sodium bicarbonate ; Acute renal failure

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract In a patient with viral pneumonia, acute respiratory and renal failure and metabolic acidosis, a reduction in left ventricular stroke work was observed on the three occasions that 100 ml of 8.4% sodium bicarbonate was infused. Blood pressure and cardiac output decreased on two of the occassions. Since intravenous sodium bicarbonate may produce adverse cardiovascular effects, a right heart catheter should be inserted to monitor these effects when alkali therapy is administered to an acutely ill patient with metabolic acidosis.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF00257690

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