mjl1717
Forum Hero
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Name 4 or 5 separate ways of causing metabolic alkalosis and how could you compensate?
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Smell the coffee! "Is That an Osler move??"
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| EMI777LY
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1. Nosogastric drainage
2. Diuretic-induced
3. Intravascular volume depletion
4. Hypokalemia
5.Use of corticosteroids
6.Vomiting
7.Citrate in transfused blood-is metabolized to bicarbonate, can be compaund MA
8. Diarrhea
9.primary aldosteronism
MA-Serum PH>7.4 loos of acid from stomach or kidneys
Plazma bicarbonat retention
how correct it
Mild or moderate M.Alk usually no specific treatment
volume depletion has to be correct first after this look for simptoms and lab data
-gastric alkalosis-infusionof saline solutions-- what enhance renal bicarbonat excretion and correct alkalosis
:roll:
Diuretic induced alkal-KCL
and give some CL it will help to remove Hco3 from plazma
correct me if i am wrong, thank you
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Emily
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| FH
Forum Senior
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Doesn't diarrhea cause metabolic acidosis NOT alkalosis?
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lots of book say it is alkalosis,
Contraction alkalosis: Loss of bicarbonate-poor, chloride-rich extracellular fluid, as observed with thiazide diuretic or loop diuretic therapy or chloride diarrhea, leads to contraction of extracellular fluid volume. Because the original bicarbonate mass is now dissolved in a smaller volume of fluid, an increase in bicarbonate concentration occurs. This increase in bicarbonate causes, at most, a 2- to 4-mEq/L rise in bicarbonate concentration.
Christie Thomas, MD, FACP, Associate Professor, Department of Internal Medicine, Division of Nephrology, University of Iowa Hospitals and Clinics
But according Harrison diarrhea is metabolic acidosis
I probably have to more study :cry:
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