Type A: tissue hypoperfusion
!Sepsis
Type B: Non-tissue hypoperfusion
Metformin
use
You need insulin for Kreb cycle
Thiamine B1 Deficiency
2/2 Chronic alcohol intake
You need Thiamine for pyruvate dehydrogenase complex
Can cause metabolic acidosis
Mitochondrial abnormality (e.g.
!Cyanide
)
Recent
!Seizure
Salbutamol (Ventolin
®)
puffs every 20 minutes