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Dr. Gupta
Dr. Gupta, Doctor
Category: Medical
Satisfied Customers: 7964
Experience:  Vastly experienced MD Physician with 19 years of experience.
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After lap cholecystectomy surgery she was admitted on

Customer Question

After lap cholecystectomy surgery she was admitted on emergency due to
Possible colon perforations. Currently she is critical blood platelets count is decreasing she is on ventilator support and with high inotropic support. The platelet level is come down below 35 k and
Doctor says it's due to acidosis level is not getting corrected. Kindly suggest if theatre are any means of decreasing the acidosis level. Her creatinine and urea is within the limits. Please very urgent is some answers can be helpful and save a life
Submitted: 5 months ago.
Category: Medical
Expert:  Dr. Gupta replied 5 months ago.

The acidosis in this situation is likely to be metabolic, and related to the underlying problems that she has.

Treating the underlying condition is the right way to reduce the acidosis,

Ventilation settings can be changed to help with this, and sometimes (rarely) Bicarbonate can be infused as well, but treating the underlying disease is the way forward,

All the best, ***** ***** critical, and my best wishes are with you and her,

Warm regards

Dr Gupta, MD