Three patients with metabolic acidosis. Three different underlying causes. Can you manage all of them successfully?

  1. Alkalinization in salicylate poisoning
  2. Cerebral edema in diabetic ketoacidosis
  3. Early alkalinization in salicylate poisoning
  4. Fluid management in diabetic ketoacidosis
  5. Gastric Decontamination in salicylate poisoning
  6. Hemodialysis vs. Continuous Renal Replacement Therapy (CRRT)
  7. Indications for hemodialysis in salicylate poisoning
  8. Metformin Induced Lactic Acidosis (MALA)
  9. Monitoring plasma salicylate levels
  10. Precipitating factors of diabetic ketoacidosis
  11. Selection of fluid for alkalinisation
  12. Usage of activated charcoal
  13. Use of insulin in diabetic ketoacidosis
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  7. RENDA F, MURA P, FINCO G, FERRAZIN F, PANI L, LANDONI G. Metformin-associated lactic acidosis requiring hospitalization. A national 10 year survey and a systematic literature review. Eur Rev Med Pharmacol Sci [online] 2013 Feb:45-9 [viewed 24 July 2014] Available from:
  8. Ravindra L. Mehta . Supportive Therapies:Intermittent Hemodialysis,Continuous Renal Replacement Therapies, and Peritoneal Dialysis. [viewed 22 July 2014] Available from:
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  10. VON MACH MA, SAUER O, SACHA WEILEMANN L. Experiences of a poison center with metformin-associated lactic acidosis. Exp Clin Endocrinol Diabetes [online] 2004 Apr, 112(4):187-90 [viewed 24 July 2014] Available from: doi:10.1055/s-2004-817931