The use of dilute hydrochloric acid and cimetidine to reverse severe metabolic alkalosis.
نویسندگان
چکیده
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 unsuccessful or contraindicated.
منابع مشابه
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...
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HAGGIE, S.J., FERMONT, D.C. & WYLLIE, J.H. (1976) Treatment of duodenal ulcer with cimetidine. Lancet, i, 983. HARKEN, A.H., GABEL, R.A., FENEL, V. & MOORE, F.D. (1975). Hydrochloric acid in the correction of metabolic alkalosis. Archives of Surgery, 110, 819. HERTZ, P. & RICHARDSON, J.A. (1972) Arginine-induced hyperkalemia in renal failure patients. Archives of Internal Medicine, 130, 778. KA...
متن کاملThe use of dilute hydrochloric acid and cimetidine to reverse severe metabolic
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...
متن کاملHydrochloric 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...
متن کاملThe 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...
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 54 628 شماره
صفحات -
تاریخ انتشار 1978