How to treat Metabolic alkalosis ?
Acid-base balance:Metabolic alkalosis شرح بالعربى
How to treat Metabolic alkalosis? قلوية الدم
link for hypokaemia lecture:
https://www.youtube.com/watch?v=-OuwSTyRuP0&list=UUtC5uHEzvqjN3hhT2XsGr8w&index=62
Metabolic Alkalosis Treatment
Link for sharing this lecture;
https://www.youtube.com/watch?v=BhjgAI04j0Q
Causes metabolic alkalosis
1-Chloride depletion, the most common cause, which can be corrected without potassium repletion .
2-Potassium depletion, usually with mineralocorticoid excess.
3-Metabolic alkalosis, due to both potassium and chloride depletion.
Symptoms of alkalosis
Tetany, apathy, confusion, drowsiness, cardiac arrhythmiasand neuromuscular irritability are common when alkalosis is severe .
Management
Chloride-responsive metabolic alkalosis .
If chloride and hypovolemia coexist, then isotonic saline solution is appropriate therapy.
With fluid overload, saline is contraindicated.
So,intravenous hydrochloric acid or ammonium chloride can be given. If GFR is adequate, acetazolamide, which causes
bicarbonate diuresis by inhibiting carbonic anhydrase, can
also be used.
Acid-base balance:Metabolic alkalosis شرح بالعربى
How to treat Metabolic alkalosis? قلوية الدم
link for hypokaemia lecture:
https://www.youtube.com/watch?v=-OuwSTyRuP0&list=UUtC5uHEzvqjN3hhT2XsGr8w&index=62
Metabolic Alkalosis Treatment
Link for sharing this lecture;
https://www.youtube.com/watch?v=BhjgAI04j0Q
Causes metabolic alkalosis
1-Chloride depletion, the most common cause, which can be corrected without potassium repletion .
2-Potassium depletion, usually with mineralocorticoid excess.
3-Metabolic alkalosis, due to both potassium and chloride depletion.
Symptoms of alkalosis
Tetany, apathy, confusion, drowsiness, cardiac arrhythmiasand neuromuscular irritability are common when alkalosis is severe .
Management
Chloride-responsive metabolic alkalosis .
If chloride and hypovolemia coexist, then isotonic saline solution is appropriate therapy.
With fluid overload, saline is contraindicated.
So,intravenous hydrochloric acid or ammonium chloride can be given. If GFR is adequate, acetazolamide, which causes
bicarbonate diuresis by inhibiting carbonic anhydrase, can
also be used.
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