Lactic acidosis: Difference between revisions

Line 6: Line 6:
*** Cardiac failure
*** Cardiac failure
*** Sepsis
*** Sepsis
*** CO poisoning
*** CN poisoning




Line 12: Line 14:
*** Alcoholism
*** Alcoholism
**** Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis   
**** Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis   
*** Liver disease
*** Metformin
*** Metformin

Revision as of 01:42, 3 March 2011

Background

  • Most common cause of metabolic acidosis in hospitalized patients
  • Type A
    • Impaired tissue oxygenation
      • Hypovolemia
      • Cardiac failure
      • Sepsis
      • CO poisoning
      • CN poisoning


  • Type B
    • No impaired tissue oxygenation
      • Alcoholism
        • Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis
      • Liver disease
      • Metformin