Podcast
Questions and Answers
In metabolic alkalosis, neuromuscular symptoms are often predominant due to the decreased ionized fraction of calcium.
In metabolic alkalosis, neuromuscular symptoms are often predominant due to the decreased ionized fraction of calcium.
True (A)
The lungs in metabolic alkalosis compensate by increasing the respiratory rate.
The lungs in metabolic alkalosis compensate by increasing the respiratory rate.
False (B)
In metabolic alkalosis, there is increased renal excretion of HCO3- and conservation of H+.
In metabolic alkalosis, there is increased renal excretion of HCO3- and conservation of H+.
True (A)
As the pH of blood increases in metabolic alkalosis, H+ ions are excreted from the bloodstream.
As the pH of blood increases in metabolic alkalosis, H+ ions are excreted from the bloodstream.
Hypokalemia in metabolic alkalosis can lead to increased GI motility.
Hypokalemia in metabolic alkalosis can lead to increased GI motility.
Hypokalemia can lead to alkalosis by reabsorbing K+ into the bloodstream and secreting H+ into the urine.
Hypokalemia can lead to alkalosis by reabsorbing K+ into the bloodstream and secreting H+ into the urine.
Excessive alkali ingestion can cause metabolic acidosis.
Excessive alkali ingestion can cause metabolic acidosis.
Chronic metabolic alkalosis can occur with long-term thiazide or furosemide therapy.
Chronic metabolic alkalosis can occur with long-term thiazide or furosemide therapy.
Metabolic alkalosis is characterized by a low pH and a low plasma bicarbonate concentration.
Metabolic alkalosis is characterized by a low pH and a low plasma bicarbonate concentration.
In alkalosis, H+ ions are increased in the bloodstream, attracting other positive ions.
In alkalosis, H+ ions are increased in the bloodstream, attracting other positive ions.
Alkalosis primarily manifests symptoms related to hypercalcemia, such as muscle cramps.
Alkalosis primarily manifests symptoms related to hypercalcemia, such as muscle cramps.
Severe vomiting or gastric suction can be a common cause of metabolic alkalosis.
Severe vomiting or gastric suction can be a common cause of metabolic alkalosis.
Metabolic alkalosis can occur in pyloric stenosis where acidic gastric fluid is lost.
Metabolic alkalosis can occur in pyloric stenosis where acidic gastric fluid is lost.
Diuretic therapy that promotes excretion of potassium can predispose to metabolic acidosis.
Diuretic therapy that promotes excretion of potassium can predispose to metabolic acidosis.
ACTH secretion in hyperaldosteronism and Cushing’s syndrome contributes to metabolic alkalosis.
ACTH secretion in hyperaldosteronism and Cushing’s syndrome contributes to metabolic alkalosis.
What is a common cause of metabolic alkalosis?
What is a common cause of metabolic alkalosis?
How does pyloric stenosis contribute to metabolic alkalosis?
How does pyloric stenosis contribute to metabolic alkalosis?
Which situation can predispose an individual to metabolic alkalosis?
Which situation can predispose an individual to metabolic alkalosis?
How do the kidneys compensate in metabolic alkalosis?
How do the kidneys compensate in metabolic alkalosis?
What role does hypokalemia play in metabolic alkalosis?
What role does hypokalemia play in metabolic alkalosis?
What is a key factor that can lead to hypoventilation in patients with metabolic alkalosis?
What is a key factor that can lead to hypoventilation in patients with metabolic alkalosis?
How can urine chloride levels help differentiate the causes of metabolic alkalosis?
How can urine chloride levels help differentiate the causes of metabolic alkalosis?
In patients with hypovolemia due to vomiting, what urine chloride concentration is typically observed?
In patients with hypovolemia due to vomiting, what urine chloride concentration is typically observed?
How can the urine chloride concentration be used to differentiate between different causes of metabolic alkalosis?
How can the urine chloride concentration be used to differentiate between different causes of metabolic alkalosis?
What is a common approach for medical management of metabolic alkalosis?
What is a common approach for medical management of metabolic alkalosis?
What is the primary cause of neuromuscular symptoms in metabolic alkalosis?
What is the primary cause of neuromuscular symptoms in metabolic alkalosis?
How do the kidneys attempt to reduce the alkalinity of the bloodstream in metabolic alkalosis?
How do the kidneys attempt to reduce the alkalinity of the bloodstream in metabolic alkalosis?
What ECG abnormality is commonly associated with hypokalemia?
What ECG abnormality is commonly associated with hypokalemia?
What is a characteristic finding in ABG evaluation of metabolic alkalosis?
What is a characteristic finding in ABG evaluation of metabolic alkalosis?
How do the lungs compensate for metabolic alkalosis?
How do the lungs compensate for metabolic alkalosis?
In patients with metabolic alkalosis and urine chloride concentrations lower than 25 mEq/L, what condition is likely present?
In patients with metabolic alkalosis and urine chloride concentrations lower than 25 mEq/L, what condition is likely present?
How do the kidneys compensate for metabolic alkalosis in patients with mineralocorticoid excess or alkali loading?
How do the kidneys compensate for metabolic alkalosis in patients with mineralocorticoid excess or alkali loading?
What is a characteristic finding in metabolic alkalosis that is associated with hypokalemia?
What is a characteristic finding in metabolic alkalosis that is associated with hypokalemia?
How do urine chloride concentrations help differentiate between vomiting, diuretic therapy, and excessive adrenocorticosteroid secretion as causes of metabolic alkalosis?
How do urine chloride concentrations help differentiate between vomiting, diuretic therapy, and excessive adrenocorticosteroid secretion as causes of metabolic alkalosis?
What is a method used for medical management of both acute and chronic metabolic alkalosis?
What is a method used for medical management of both acute and chronic metabolic alkalosis?
How do the kidneys compensate for metabolic alkalosis?
How do the kidneys compensate for metabolic alkalosis?
What ECG abnormality is commonly associated with hypokalemia in metabolic alkalosis?
What ECG abnormality is commonly associated with hypokalemia in metabolic alkalosis?
Which of the following is a characteristic finding in ABG evaluation of metabolic alkalosis?
Which of the following is a characteristic finding in ABG evaluation of metabolic alkalosis?
What role does hypokalemia play in metabolic alkalosis?
What role does hypokalemia play in metabolic alkalosis?
How can urine chloride levels help differentiate between different causes of metabolic alkalosis?
How can urine chloride levels help differentiate between different causes of metabolic alkalosis?
What is the primary mechanism through which the lungs attempt to compensate in metabolic alkalosis?
What is the primary mechanism through which the lungs attempt to compensate in metabolic alkalosis?
How do the kidneys respond in metabolic alkalosis to maintain acid-base balance?
How do the kidneys respond in metabolic alkalosis to maintain acid-base balance?
Which ECG abnormality is commonly associated with hypokalemia in the context of metabolic alkalosis?
Which ECG abnormality is commonly associated with hypokalemia in the context of metabolic alkalosis?
What is a characteristic finding in ABG evaluation of metabolic alkalosis?
What is a characteristic finding in ABG evaluation of metabolic alkalosis?
How does hypokalemia contribute to metabolic alkalosis?
How does hypokalemia contribute to metabolic alkalosis?