title: Toxicologic acid-base disorders.
abstract: Acid-base disorders may complicate the presentation of patients with poisoning. This article summarizes an approach to acid-base disorders from a toxicologic perspective. It aims to assist the reader in identifying underlying acid-base processes, generating a differential diagnosis for each, and approaching that differential diagnosis in a systematic fashion. Understanding these processes will help to guide management and interventional strategies.
authors.affiliation: Department of Emergency Medicine, SUNY Downstate Medical Center, 450 Clarkson Avenue, Box 1228, Brooklyn, NY 11203, USA; Department of Emergency Medicine, Kings County Hospital Center, 451 Clarkson Avenue, Brooklyn, NY 11203, USA; New York City Department of Health and Mental Hygiene, New York City Poison Control Center, 455 First Avenue, New York, NY 10016, USA. Electronic address: sagewiener-em@yahoo.com.
authors.forename: Sage W
authors.initials: SW
authors.lastname: Wiener
mesh_terms: D000137:Acid-Base Imbalance / Q000097:blood / Q000175:diagnosis*; D001784:Blood Gas Analysis / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D011041:Poisoning / Q000097:blood / Q000175:diagnosis*
keywords: Acid-base; Acidemia; Alkalemia; Anion gap; Delta gap; Osmol gap; Toxicity