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Suggest Treatment For Renal Tubular Acidosis In An Elderly Person
A 54 y/o white female with a past medical history of renal tubular acidosis, a. fib, DVT, sarcoidosis, spontaneous hip fracture, trigeminal neuralgia, gastric stapling, osteoarthritis, pernicious anemia, IBS, , peptic ulcer disease, anxiety disorder and HTN. She was admitted to the hospital w/ CP and SOB. A MI was ruled out as was a pulmonary embolus. the ER diasgnosed her with a probable case of pneumonia. During her stay she developed a septic picture with megacolon and was intubated d/t respiratory distress. A colectomy was sched in 2 days. the morning of the colectomy, prior to surgery she develpes new CP and an ECG was performed
Wed, 28 Jun 2017
Hi,
Thanks for posting in HCM.
I understand your concern.
Renal tubular acidosis (RTA) is a medical condition that involves an accumulation of acid in the body due to a failure of the kidneys to appropriately acidify the urine.
The first goal of treatment of RTA is to give the patient enough alkali to correct the blood pH and bicarbonate to normalise levels, provided that there is no reversible cause such as urinary tract obstruction or ongoing drug administration.
Next serum potassium levels needs to be maintained in the normal range.
Further, the cause for it needs to be determined and treated accordingly.
Hope the information provided would be helpful.
All the best.
Regards,
Dr.Ashakiran.S.,
MBBS., MD.
Thanks for posting in HCM.
I understand your concern.
Renal tubular acidosis (RTA) is a medical condition that involves an accumulation of acid in the body due to a failure of the kidneys to appropriately acidify the urine.
The first goal of treatment of RTA is to give the patient enough alkali to correct the blood pH and bicarbonate to normalise levels, provided that there is no reversible cause such as urinary tract obstruction or ongoing drug administration.
Next serum potassium levels needs to be maintained in the normal range.
Further, the cause for it needs to be determined and treated accordingly.
Hope the information provided would be helpful.
All the best.
Regards,
Dr.Ashakiran.S.,
MBBS., MD.
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