Lactic acidosis
Background
- Most common cause of metabolic acidosis in hospitalized patients
- Type A
- Impaired tissue oxygenation
- Hypovolemia
- Cardiac failure
- Sepsis
- Impaired tissue oxygenation
- Type B
- No impaired tissue oxygenation
- Alcoholism
- Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis
- Metformin
- Alcoholism
- No impaired tissue oxygenation