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Navigating Acid-Base Management in Critical Care
This chapter explores the challenges and controversies related to sodium bicarbonate use in treating metabolic acidosis in critical care settings. It emphasizes the need for individualized approaches while addressing underlying causes and critiques the reliance on bicarbonate, which may obscure significant clinical issues. Additionally, alternative buffering agents and the role of urinalysis in diagnosing acid-base imbalances are examined, highlighting the complexities involved in effective management.