Metabolic Alkalosis

Metabolic Alkalosis: 

Causes : 

• 1)Prolonged vomiting
• 2) NaHCO3 ingestion
• 3) Cushing’s disease
• 4) Conn’s disease

Para-meter : 

• pH = > 7.4 
  
• HcO3- = > 26 
  

Clinical Features:

• 1)Confusion (can progress to stupor or coma)
  
• 2)Hand tremor.
• 3)Lightheadedness.
• 4)Muscle twitching.
• 5)Nausea, vomiting.
• 6)Numbness or tingling in the face, hands, or feet.
• 7)Prolonged muscle spasms (tetany)

Investigations: 

• 1)ABG 
  
• 2) Serum creatinine 
• 3)Serum Electrolyte 
• 4)LFT 
• 5)CBC 

Rx: 

• Treatment of underlying cause 
• Saline infusion(cholera saline if vomiting)
• Potassium replacement.
• Magnesium replacement.
• Hydrochloric acid infusion.

🎴Stop: stetoid & high dose diuretics