Lactic acidosis - Revision history

Elcatracho: /* Lactate False Positives */

2021-03-07T01:11:57Z

Lactate False Positives

← Older revision		Revision as of 01:11, 7 March 2021
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	*[[Seizures]], immediate post-ictal period		*[[Seizures]], immediate post-ictal period
	*[[Hepatic failure]]		*[[Hepatic failure]]
	**Lactate ringer's solution unlikely to cause false positive except in hepatic failure</ref>Zitek T, Skaggs ZD, Rahbar A, Patel J, Khan M. Does Intravenous Lactated Ringer's Solution Raise Serum Lactate?. J Emerg Med. 2018;55(3):313-318. doi:10.1016/j.jemermed.2018.05.031</ref><ref>Didwania A, Miller J, Kassel D, Jackson EV Jr, Chernow B. Effect of intravenous lactated Ringer's solution infusion on the circulating lactate concentration: Part 3. Results of a prospective, randomized, double-blind, placebo-controlled trial. Crit Care Med. 1997;25(11):1851-1854. doi:10.1097/00003246-199711000-00024</ref>		**Lactate ringer's solution unlikely to cause false positive except in hepatic failure<ref>Zitek T, Skaggs ZD, Rahbar A, Patel J, Khan M. Does Intravenous Lactated Ringer's Solution Raise Serum Lactate?. J Emerg Med. 2018;55(3):313-318. doi:10.1016/j.jemermed.2018.05.031</ref><ref>Didwania A, Miller J, Kassel D, Jackson EV Jr, Chernow B. Effect of intravenous lactated Ringer's solution infusion on the circulating lactate concentration: Part 3. Results of a prospective, randomized, double-blind, placebo-controlled trial. Crit Care Med. 1997;25(11):1851-1854. doi:10.1097/00003246-199711000-00024</ref>

	==Management==		==Management==

2021-03-07T01:11:27Z

Lactate False Positives

← Older revision		Revision as of 01:11, 7 March 2021
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	*[[Beta agonists]] or beta stimulation		*[[Beta agonists]] or beta stimulation
	*Extreme exercise		*Extreme exercise
	*[[Seizures]], immediate ictal period		*[[Seizures]], immediate post-ictal period
	*[[Hepatic failure]]		*[[Hepatic failure]]
	**Lactate ringer's solution unlikely to cause false positive except in hepatic failure		**Lactate ringer's solution unlikely to cause false positive except in hepatic failure</ref>Zitek T, Skaggs ZD, Rahbar A, Patel J, Khan M. Does Intravenous Lactated Ringer's Solution Raise Serum Lactate?. J Emerg Med. 2018;55(3):313-318. doi:10.1016/j.jemermed.2018.05.031</ref><ref>Didwania A, Miller J, Kassel D, Jackson EV Jr, Chernow B. Effect of intravenous lactated Ringer's solution infusion on the circulating lactate concentration: Part 3. Results of a prospective, randomized, double-blind, placebo-controlled trial. Crit Care Med. 1997;25(11):1851-1854. doi:10.1097/00003246-199711000-00024</ref>

	==Management==		==Management==

2019-09-29T16:21:48Z

← Older revision		Revision as of 16:21, 29 September 2019
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	*[[Vomiting]]		*[[Vomiting]]
	*[[Abdominal pain]]		*[[Abdominal pain]]
	*Lethargy		*[[Lethargy]]
	*[[Hyperventilation]]		*[[Hyperventilation]]
	*[[Hypotension]]		*[[Hypotension]]
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	===Lactate False Positives===		===Lactate False Positives===
	*Beta-agonists or beta stimulation		*[[Beta agonists]] or beta stimulation
	*Extreme exercise		*Extreme exercise
	*Seizures, immediate ictal period		*[[Seizures]], immediate ictal period
	*Hepatic failure		*[[Hepatic failure]]
	**Lactate ringer's solution unlikely to cause false positive except in hepatic failure		**Lactate ringer's solution unlikely to cause false positive except in hepatic failure

2017-08-27T00:52:08Z

Evaluation

← Older revision		Revision as of 00:52, 27 August 2017
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	*Lactic Acidosis = Lactate >4 mEq/L		*Lactic Acidosis = Lactate >4 mEq/L

	===Lactate False Positives====		===Lactate False Positives===
	*Beta-agonists or beta stimulation		*Beta-agonists or beta stimulation
	*Extreme exercise		*Extreme exercise

2017-08-27T00:51:57Z

2017-06-27T04:17:20Z

Background

← Older revision		Revision as of 04:17, 27 June 2017
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	==Background==		==Background==
	*Most common cause of metabolic acidosis in hospitalized patients		*Most common cause of [[metabolic acidosis]] in hospitalized patients

	==Clinical Features==		==Clinical Features==

2016-12-20T16:02:17Z

Podcast link

← Older revision		Revision as of 16:02, 20 December 2016
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	==See Also==		==See Also==
	*[[EBQ:Lactate clearance vs central venous oxygen saturation]]		*[[EBQ:Lactate clearance vs central venous oxygen saturation]]

			==External Links==
			*[http://pemplaybook.org/podcast/big-labs-little-people-troponin-bnp-d-dimer-and-lactate/ Pediatric Emergency Playbook Podcast: Big Labs, Little People]

	==References==		==References==

2016-07-23T20:44:19Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 20:44, 23 July 2016
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	{{Lactic acidosis DDX}}		{{Lactic acidosis DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Hyperlactatemia = Lactate >2 mEq/L		*Hyperlactatemia = Lactate >2 mEq/L
	*Lactic Acidosis = Lactate >4 mEq/L		*Lactic Acidosis = Lactate >4 mEq/L

2016-06-15T02:35:11Z

Clinical Presentation

← Older revision		Revision as of 02:35, 15 June 2016
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	*Most common cause of metabolic acidosis in hospitalized patients		*Most common cause of metabolic acidosis in hospitalized patients

	==Clinical ~~Presentation~~==		==Clinical Features==
	*Anorexia		*Anorexia
	*Nausea		*[[Nausea]]
	*Vomiting		*[[Vomiting]]
	*Abdominal pain		*[[Abdominal pain]]
	*Lethargy		*Lethargy
	*Hyperventilation		*[[Hyperventilation]]
	*Hypotension		*[[Hypotension]]

	==Differential Diagnosis==		==Differential Diagnosis==

2016-06-15T02:34:40Z

← Older revision		Revision as of 02:34, 15 June 2016
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	*Lactic Acidosis = Lactate >4 mEq/L		*Lactic Acidosis = Lactate >4 mEq/L

	=~~=Management==~~		===Lactate False Positives====
	*Treat underlying cause

	==Lactate False Positives==
	*Beta-agonists or beta stimulation		*Beta-agonists or beta stimulation
	*Extreme exercise		*Extreme exercise
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	*Hepatic failure		*Hepatic failure
	**Lactate ringer's solution unlikely to cause false positive except in hepatic failure		**Lactate ringer's solution unlikely to cause false positive except in hepatic failure

			==Management==
			*Treat underlying cause

			==Disposition==
			*Depends on underlying cause

	==See Also==		==See Also==

← Older revision		Revision as of 00:51, 27 August 2017
Line 34:		Line 34:
	==See Also==		==See Also==
	*[[EBQ:Lactate clearance vs central venous oxygen saturation]]		*[[EBQ:Lactate clearance vs central venous oxygen saturation]]
			*[[HAART-induced lactic acidosis]]

	==External Links==		==External Links==