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
Loss of potassium: Diarrhea causes loss of potassium. The kidney excretes acid, (hydrogen ions) to conserve potassium. Loss of hydrogen ions (acid) causes metabolic alkalosis. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Drink enough water daily so that your urine is mostly colorless. Practice safe sex. ...Read more
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 (sodium 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
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?
I have Crohn's disease which has caused mild metabolic alkalosis due to low electrolytes. Can I safely consume pediaLyte everyday to counteract this?
Crohn desease: Or inflam bowel disease--here inflamed colon loses its ability to absorb salt and water and potassium excretion in the lumen is decreases so there is metabolic alkalosis due to volume depletion and potassium loss in this case taking pedialyte should not hurt but is poorly absorbed ...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
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
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
My blood gas panel revealed the following. Is this metabolic alkalosis? PH- 7.431 PCO2- 40.1 H3O2- 26.1
In metabolic alkalosis which one investigation help most in management serum NA, serum chloride, serum K, urine NA, urine chloride?
Can mild metabolic alkalosis lead to ventricular arrhythmia in patients with pre existing arrhythmias and various cardiac conditions?
Slowly & effectively: In response to acidosis, the kidney increases reabsorbtion of bicarbonate (sodium bicarbonate) from the tubular fluid, secretes more hydrogen ions, and generate more bicarbonate (sodium bicarbonate). Ammoniagenesis leads to increased formation of the buffering compounds. In responses to alkalosis, the kidney excretes more bicarbonate (sodium bicarbonate), decreases hydrogen ion secretion, and lowers rates of glutamine metabolism and ammonium excretion. ...Read more
Metabolic issues: The kidneys are very smart at keeping the body at the ph level. The kidneys are capable of getting rid of large amounts of acids (hydrogen ions) and reabsorbing bicarbonate (sodium bicarbonate) to keep the body in homeostasis. We excrete acid (h+) through titratable acidity and ammonium. ...Read more
Please help me figure out how to determine compensated, partially compensated and fully compensated abg's. I am ok with identifying pH, resp and metabolic acidosis and alkalosis, and oxygenation but when giving my final answer, I just can't put it togethe
Abg result: mixed metabolic acidosis and respiratory alkalosis with more than adequate oxygenation. What's the meaning of this? Thank you.
Acid-base disorder: To give a clear answer we need to have the actual values for the ph, pco2, and the tco2 (usually called bicarbonate). A mixed disorder needs to be broken into the primary disorder and then if other disorders are present, are they primary or secondary. Normal oxygenation not relevant to this problem. Could be anxiety or medication for the resp alkalosis with a secondary hyperchloremic "acidosis". ...Read more
K and alkalosis acid: Blood K is sensitive to blood pH. (hydrogen ion concentration). When H gets too high (acidosis) it moves into cells to protect from death from too much acid. As H+ moves into cells a + ion must move out. This is usually K+. Thus hyperK. When H+ gets too low (alkalosis) in blood H+ moves from cell to blood to prevent death from low H+. As H+ moves out of cell K+ moves in. Thus blood K goes down. ...Read moreSee 1 more doctor answer
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