title: Homespun remedy, homespun toxicity: baking soda ingestion for dyspepsia.
abstract: A 68-year-old man presented to the Emergency Department with a severe metabolic alkalosis after ingesting large quantities of baking soda to treat his dyspepsia. His underlying pulmonary disease and a progressively worsening mental status necessitated intubation for respiratory failure. Laboratory studies revealed a hyponatremic, hypochloremic, hypokalemic metabolic alkalosis. The patient was successfully treated after cessation of the oral bicarbonate, initiation of intravenous hydration, and correction of electrolyte abnormalities.
authors.affiliation: Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Camden, New Jersey 08103, USA.
authors.forename: Keyur
authors.initials: K
authors.lastname: Ajbani
authors.forename: Michael E
authors.initials: ME
authors.lastname: Chansky
authors.forename: Brigitte M
authors.initials: BM
authors.lastname: Baumann
mesh_terms: D000368:Aged; D000471:Alkalosis / Q000139:chemically induced* / Q000523:psychology / Q000628:therapy; D004415:Dyspepsia / Q000188:drug therapy*; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D012131:Respiratory Insufficiency / Q000139:chemically induced / Q000628:therapy; D012651:Self Medication / Q000009:adverse effects*; D017693:Sodium Bicarbonate / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D017693:Sodium Bicarbonate