Approach to metabolic alkalosis.
Metabolic alkalosis is a common disorder, accounting for half of all acid-base disturbances in hospitalized patients. It is the result of an increase in bicarbonate production, a decrease in bicarbonate excretion, or a loss of hydrogen ions. Most causes of metabolic alkalosis can be divided into 4 categories: chloride depletion alkalosis, mineralocorticoid excess syndromes, apparent mineralocorticoid excess syndromes, and excess alkali administration. Treatment is usually supportive and based on cause of the alkalosis.
Department of Emergency Medicine, Keck School of Medicine, University of Southern California, 1200 North State Street, Los Angeles, CA 90033, USA. Electronic address: jtsoifer@yahoo.com.
Jennifer T
JT
Soifer
Department of Emergency Medicine, Keck School of Medicine, University of Southern California, 1200 North State Street, Los Angeles, CA 90033, USA.
Hyung T
HT
Kim
D000471:Alkalosis / Q000628:therapy*; D019468:Disease Management; D004630:Emergencies; D004636:Emergency Service, Hospital; D006801:Humans
Apparent mineralocorticoid excess syndrome; Chloride depletion; Metabolic alkalosis; Mineralocorticoid excess syndrome