Alkalemia


Alkalosis
(pH >7.40)
Respiratory Alkalosis
( ↑ pH + ↓ HCO3-)
Metabolic Alkalosis
(↑ pH + ↑ HCO3−)
PaCO2, Serum Cl, Serum K
CO2 ventilation outpaces production.
The most common cause of respiratory alkalosis in ill patients is a compensatory respiratory alkalosis in response to a metabolic acidosis (seen in sepsis, DKA).

Hyperventilation:
- Anxiety/Panic Attack.
- Pul Embolus,
- Pul. Edema,
- Pregnancy
- Pneumonia
- Progesterone
- Cirrhosis
- Aspirin toxicity (early)
↓ BP ↑ BP
Urine Cl Renin
<20 >20
Vomit:
- Anorexia
- Pyloric Stenosis
- Hyperemesis gravid.
(
Ketones)







 
Diuterics:
- (+) urine diuretics

Bartter's Syndrome, Gitelman Syndrome:

- (-) urine diuretics

 

Prim. Aldosterone Renin-Producing Tumor
Tx:
Treatment focuses on identifying and addressing the underlying cause of
tachypnea.
TX:
Acetazolamide





 

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Metabolic Alkalosis: