A 27-year-old male asked:
Chloride level was 101 in may but now is 93. Why the dip?
1 doctor answer
Dr. Rex Mahnensmith answered
43 years experience in Internal Medicine
Serum chloride: Serum chloride concentrations change for only a few reasons - 1. Can dip if serum sodium dips also: will follow sodium. 2. Can dip if serum bicarbonate (sodium bicarbonate) rises: reciprocal change. 3. Chloride thus is a secondary anion -- it follows another ionic change as above. Discerning the primary cause is essential: sodium depletion, water retention (1.). Bicarbonate (sodium bicarbonate) retention, chloride loss (2.) Doc knows
Answered on Jun 22, 2015
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