Table 14-4
- Etiologic Therapy
- Expand intravascular fluid volume (intraoperative fluid management with 0.9% saline; lactated Ringer's solution provides an additional substrate for generation of bicarbonate).
- Administer potassium.
- Avoid iatrogenic hyperventilation of the patient's lungs.
- Nonetiologic Therapy
- Administer acetazolamide (causes renal bicarbonate wasting).
- Administer hydrogen (ammonium chloride, arginine hydrochloride, hydrochloric acid [must be injected into a central vein]).