Home
Radiology Guides Anatomy Physio & Path Medicine Physics Contact
METABOLIC ALKALOSIS-MANAGEMENT

Nephrology

METABOLIC ALKALOSIS-MANAGEMENT

1. In chloride-responsive alkalosis (when urinary CL < 10), aim treatment at restoration of volume with IV fluids (with either NaCl and/or KCl) and interruption of the cycle, which causes persistent volume loss.

2. Potassium correction is integral to resolving the alkalosis, as well. Both interventions interrupt aldosterone production.

3. The carbonic anhydrase inhibitor, acetazolamide, which increases sodium bicarbonate excretion, can be used in patients who have alkalosis with contraindications to saline or potassium administration (e.g. decompensated heart failure).


Avatar
REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

+ Home