Treatment for metabolic acidosis

Metabolic acidosis usually responds to serum alkalinisation with intravenous sodium bicarbonate. For adults and children, use:

sodium bicarbonate 8.4% 1 to 2 mL/kg up to 100 mL (1 to 2 mmol/kg up to 100 mmol) intravenously, every 3 to 5 minutes, titrated to a serum pH of more than 7.3. Maximum total dose is 6 mL/kg (6 mmol/kg). glyphosate poisoning

Monitor urine output, aiming to prevent hypovolaemia, hypotension and acute kidney injury. If there are signs of kidney failure, severe metabolic acidosis or hyperkalaemia, consider haemodialysis. Seek advice from a clinical toxicologist.