Metabolic Alkalosis

Metabolic Alkalosis  is an acid-base imbalance characterized by excessive loss of acid or excessive gain of bicarbonate.

Contributing Factors:
- vomiting
- gastric suctioning
- excessive intake of alkali (antacids, baking soda)

Signs and Symptoms/ Clinical Manifestations:
- tingling of fingers
- dizziness, confusion
- tetany
- slow, shallow respirations, possibly apnea

Labs indicated: arterial blood gas (ABG) studies reveal abnormal values: pH above 7.45 and HCO3 above 26 mEq/L; urine chloride concentrations help to differentiate between vomiting or diuretic ingestion or one of the causes of mineralocorticoid excess.


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