Possible cause: gastric suctioning, vomiting, anorexia, ingestion of bicarbonate (Alka-seltzer, Soda Bicarbonate)
Decrease Cl = Increase CHO3
Give Cl to reverse the result
- Potassium Chloride (KCl)
- Sodium Chloride (NaCl)
- Potassium restores serum and intracellular K levels
- Chloride promotes renal excretion of Bicarbonate
- NaCl, restore fluid volume deficits that can contribute to metabolic alkalosis
- Severe alkalosis, an acidifying solution such as Ammonium Chloride may be administered.
- Treat underlying cause
- Priority: impaired gas exchange / hypoxemia
- May lead to hypokalemia and hypovolemia
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