Risk Factors:
- Diarrhea
 - Fever
 - Hypoxia
 - Starvation
 - Seizure
 - Overdose: salicylates or ethanol
 - Renal failure
 
- pH < 7.35
 - HCO3 < 22 mEq/L
 - VS: Bradycardia, weak pulses, hypotension, tachypnea
 - Flaccid paralysis
 - Confusion
 
- Treat underlying cause
 - Administer fluids, electrolyte