Diagnosaurus 2.0

Metabolic alkalosis

Metabolic alkalosis was found in Diagnosaurus 2.0 which helps you diagnose, treat, and follow up on over 900 medical conditions seen in everyday practice.

To view this entire topic, please or purchase a subscription.

Explore 5-Minute Clinical Consult - view these FREE monographs:

5-Minute Clinical Consult

-- The first section of this topic is shown below --

Etiology

Saline-Responsive (UCl <10 meq/d)
Excessive body bicarbonate content

  • Renal alkalosis
    • Diuretic therapy
    • Poorly reabsorbable anion therapy: carbenicillin, penicillin, sulfate, phosphate
    • Posthypercapnia
  • Gastrointestinal alkalosis
    • Loss of HCl from vomiting or nasogastric suction
    • Intestinal alkalosis: chloride diarrhea
  • Exogenous alkali
    • NaHCO3 (baking soda)
    • Sodium citrate, lactate, gluconate, acetate
    • Transfusions
    • Antacids

Normal body bicarbonate content
  • Contraction alkalosis

Saline-Unresponsive (UCl >10 meq/d)
Excessive body bicarbonate content
  • Renal alkalosis, Normotensive
    • Bartter's syndrome (renal salt wasting and secondary hyperaldosteronism)
    • Severe potassium depletion
    • Refeeding alkalosis
    • Hypercalcemia and hypoparathyroidism
  • Renal alkalosis, Hypertensive
    • Endogenous mineralocorticoids
      • Primary aldosteronism
      • Hyperreninism
      • Adrenal enzyme deficiency: 11- and 17-hydroxylase
      • Liddle's syndrome
    • Exogenous mineralocorticoids
      • European licorice

-- To view the remaining sections of this topic, please or purchase a subscription --