endocrine and metabolic disorders
Lactic Acidosis
Key Points
There are 2 main types of lactic acidosis, type A and type B; type A is more serious because it is caused by ischemia. Diagnosis requires blood pH < 7.35 and serum lactate levels > 45 to 54 mg/dL (> 5 to 6 mmol/L). Avoid pressors when possible for types A and B lactic acidosis because they worsen tissue ischemia. 