M.A.S
Forum Senior
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According to the urinary concentration of chloride, how can you discover the cause (or type) af metabolic alkalosis?
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| M.A.S
Forum Senior
Topics: 28
Posts: 56
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Anyone to answer?!!
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| munnabhaimbbs
Forum Newbie
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by looking at concentration, if lo, possibly arf. if hi, have to compare it with other electrolytes. can't say much after that.[/code]
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| usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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# Low Urine Chloride <10 meq/L
1. Gastrointestinal causes
1. Vomiting
2. Nasogastric suction
3. Chloride-wasting Diarrhea
4. Villous adenoma of colon
2. Renal Causes
1. Diuretic use (Urine Chloride >10 meq/L)
2. Poorly reabsorbable anion
1. Carbenicillin
2. Penicillin
3. Sulfate
4. Phsophate
3. Post-Hypercapnia
3. Exogenous alkali
1. Sodium Bicarbonate (baking soda)
2. Sodium Citrate
3. Lactate
4. Gluconate
5. Acetate
6. Transfusion
7. Antacid
4. Cystic Fibrosis
5. Achlorhydria
6. Contraction alkalosis
# Causes: Normal or High Urine Chloride >20 meq/L
1. Hypertensive Patient
1. Adrenal Disease
1. Primary Hyperaldosteronism
2. Cushing's Syndrome (Pituitary, Adrenal or ectopic)
3. Liddle Syndrome
2. Exogenous steroids
1. Excess mineralcorticoid intake
2. Excess glucocorticoid intake
3. Excessive licorice intake
4. Carbenoxalone
5. Glycyrrhizic acid
6. Chewing Tobacco
2. Normotensive Patient
1. Bartter Syndrome or Gitelman Syndrome
2. Hypokalemia
3. Excessive alkali administration
4. Milk-Alkali Syndrome
5. Refeeding alkalosis
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| Dot
Forum Senior
Topics: 1
Posts: 168
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excellent
___________________
have fun
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