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.
