Treatment of metabolic alkalosis with intravenous hydrochloric acid

South Med J. 1979 Oct;72(10):1241-5. doi: 10.1097/00007611-197910000-00008.


Severe alkalosis requires aggressive treatment. Twenty patients at the Talmadge Memorial Hospital have been treated for metabolic alkalosis by infusion of dilute hydrochloric acid through a central venous line. The treatment was effective and there were no major complications. Intravenous hydrochloric acid is preferred to other modes of therapy for refractory alkalosis, especially in the presence of hepatic or renal failure.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alkalosis / complications
  • Alkalosis / drug therapy*
  • Female
  • Humans
  • Hydrochloric Acid / administration & dosage
  • Hydrochloric Acid / therapeutic use*
  • Infusions, Parenteral
  • Male
  • Middle Aged


  • Hydrochloric Acid