Hyperchloremic metabolic acidosis after chlorine inhalation: Szerlip HM, Singer I Am J Med 77:581–582 Sep 84
✍ Scribed by Eva M Carey
- Book ID
- 104313397
- Publisher
- Elsevier Science
- Year
- 1985
- Tongue
- English
- Weight
- 97 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1097-6760
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✦ Synopsis
ing healing in primary first-episode genital HSV infections, and the oral form of the medication offers considerable cost and convenience advantages compared to intravenous acyclovir. Neither oral nor intravenous acyclovir seems to prevent recurrences. Further studies are needed to compare the clinical effects of the oral versus the intravenous or toxical forms of the antiviral agent.
James E Gruber, MD CHILD ABUSE; FRACTURE, SPINE tightness, and was found to be tachypneic with inspiratory and expiratory wheezes. The radiograph was unremarkable, but her room air arterial blood gas showed a pH of 7.36; PCO2, 27; and PO2, 50; and her electrolytes showed Na, 136; K, 3.6; C1, 108; and CO~, 16 with an anion gap of 12. This is the first reported case of a hyperchloremic metabolic acidosis secondary to chlorine inhalation. The hypothesized mechanism is that chlorine combines with tissue water to form HC1 = HC10; however, the latter is unstable and breaks down into HC1 and free oxygen.