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

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...

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 Frequency of the Causes of Acid Base Disturbances in Patients Hospitalized in the Toxicology Ward of Baharloo Hospital in 2009

Background: The aim of this study was to evaluate the efficacy of arterial blood gases (ABGs) in determining the type of intoxication. Methods: Medical charts of all patients who had referred to the toxicology ward of Baharloo Hospital between January 2009 and December 2009 were evaluated. After excluding the patients with multi-drug toxicity, data, including age, sex, type of intoxication ...

Please advise on infusing hydrochloric acid

The approach to and treatment of metabolic alkalosis has made great strides in recent decades and molecular mechanisms have been unraveled. Thus, we were perplexed to receive a request for assistance with hydrochloric acid management. This treatment was not that unusual in the distant past but is nowadays thankfully uncommon. A double-take is an expression of surprise in body language. The cons...

Metabolic alkalosis treated with intravenous hydrochloric acid.