endocrine and metabolic disorders
Lactic Acidosis
Treatment of Lactic Acidosis
Treatment of cause Treatment of types A and B lactic acidosis is similar to Treatment . Treatment of the cause is paramount. In treating inadequate tissue perfusion, pressors should be omitted when possible because they may worsen tissue ischemia. Bicarbonate is potentially dangerous in high anion gap acidosis but may be considered when pH is < 7.00, with a target pH of ≤ 7.10. In D-lactic acidosis, treatment is IV fluids, restriction of carbohydrates, and sometimes oral antibiotics (eg,metronidazole) for short bowel syndrome and bicarbonate for severe acidosis. 