features of a metabolic acidosis

Last reviewed 01/2018

The classical clinical finding in the patient with metabolic acidosis is the deep, sighing breathing pattern which is termed Kussmaul respiration.

The physiological consequences of metabolic acidosis include:

  • impaired myocardial contractility:
    • the effect is independent of hypoxia
    • cardiac failure may induce lactic acidosis

  • increased risk of ventricular fibrillation

  • pulmonary vasoconstriction