The main goal of treatment is to correct the underlying problem that created the metabolic acidosis. Once the cause is treated, the body will naturally correct the acid level. For example, someone with diabetic ketoacidosis needs insulin, a natural hormone that can be given as a medication to lower the blood sugar level. Those who have shock due to a severe infection may need antibiotics or surgery. In some cases, dialysis is required. Dialysis is a procedure to filter the blood. It is usually done when the kidneys fail or after a severe drug overdose.
All medications have possible side effects. For example, antibiotics may causallergic reactions and stomach upset. Other side effects may occur and depend on the medications used. Dialysis carries a risk for low blood pressure, infection and other problems. Surgery carries a risk of bleeding and infection.
If the underlying cause of the metabolic acidosis can be treated, the acid levels in the body usually return to normal. In these cases, no further treatment may be needed. Those with permanent kidney failure may need dialysis for the rest of their lives.
Repeated blood tests can be done to follow the acid level in the blood if needed. Other monitoring relates to the cause. For example, someone with diabetes needs to monitor his or her blood sugar levels regularly for life. Any new or worsening symptoms should be reported to the healthcare provider.