Metabolic alkalosis treated with intravenous hydrochloric acid.

Metabolic alkalosis treated with intravenous hydrochloric acid.

hydrochloric acid and cimetidine to reverse severe metabolic alkalosis

haemophilic child has previously been described (McCarthy and Coble, 1973). The present case emphasizes that, with maintenance of adequate factor VIII levels, surgical intervention for cerebral haemorrhage can be undertaken without haemostatic problems. Although the ultimate prognosis was not affected here, neurosurgery should now be contemplated for this complication. The use of the EMI scan i...

Hydrochloric acid in the correction of metabolic alkalosis.

Intravenous infusion of hydrochloric acid was used as a safe, effective, and quantitative method for correction of metabolic alkalosis in two patients. The first shows the risks of intravenously administered ammonium chloride, the currently available alternative to hydrochloric acid therapy. The second shows the efficacy of intravenously administered hydrochloric acid. While breathing spontaneo...

The use of dilute hydrochloric acid and cimetidine to reverse severe metabolic alkalosis.

Two cases of severe metabolic alkalosis associated with gastric hypersecretion were successfully treated with dilute hydrochloric acid and a histamine H2-receptor antagonist given by intravenous infusion. This combined therapy with electrolyte replacement and suppression of gastric secretion is valuable in the control of this serious metabolic abnormality when conventional treatment is unsucces...

The rational use of i.v. hydrochloric acid in the treatment of metabolic alkalosis.

A method for the assessment and management of factors both causing and maintaining a primary metabolic alkalosis is presented. During a 2-year period 65 patients with metabolic alkalosis were treated with saline and potassium chloride infusions. In four patients the alkalosis was refractory and required additional therapy. An infusion of hydrochloric acid 0.12-0.24 mol/litre through a central v...