Doctor insights on:
Hyperchloremic Metabolic Alkalosis
None: Metabolic alkalosis is not a food issue, and the main treatment would be to treat the underlying cause. Are you on diuretics? Do you have associated hypertension that can point to aldosteronism? Do you have COPD and chronically retain CO2? Vomiting? Diarrhea? Each in this small list of examples requires a different approach to treatment, so you'll need a proper history and physical by your doctor. ...Read more
I have determined I have metabolic alkalosis, but not too severe, from consuming too much baking soda an my face is tingling. How do I treat this?
Treat the cause: The most certain way to test for alkalosis (or acidosis) is with an arterial blood gas test. If the arterial ph is abnormally high, there is alkalosis. M. A. Typically shows an elevated serum co2 level, because of increased bicarbonate. The treatment depends on the cause of m.A. Repeated vomiting causes m.A. Because of loss of hcl (acid) from the stomach. You treat the cause of vomiting. ...Read more
What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?
Difference....: If your ph in your blood is lower than normal, then you have an acidosis. If the ph in your blood is higher than normal, then you have an alkalosis. To figure out if the abnormality is respiratory or metabolic, you need to know the carbon dioxide level. An arterial blood gas test would give the information needed to diagnose the disorder, including whether or not there is compensation! ...Read more
Alkalosis: It is not that simple to say yes or no to this question. It depends upon the cause of the metabolic alkalosis. Commonly with metabolic alkalosis as a compensatory mechanism there will be hypoventilation that could be sensed as shortness of breath but respiratory rate will be lower or shallower. ...Read more
Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?
Respiratory distress: Hello, no RR but must be raised. The resp alkalosis is compensated. He has COPD & prob chronic compensated resp alkalosis. He has ? p'monia. If he has acute METABOLIC alkalosis he is not going to be able to correct with lungs, he is prob at max resp rate and pCO2 is nl and O2 at 72% He is on edge and needs to be admitted and most likely intubated and cause of metabolic alkalosis treated.thx ...Read more
Slowly & effectively: In response to acidosis, the kidney increases reabsorbtion of bicarbonate from the tubular fluid, secretes more hydrogen ions, and generate more bicarbonate. Ammoniagenesis leads to increased formation of the buffering compounds. In responses to alkalosis, the kidney excretes more bicarbonate, decreases hydrogen ion secretion, and lowers rates of glutamine metabolism and ammonium excretion. ...Read more
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