Hypokalemia and Alkalosis Mechanisms
45 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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.

False (B)

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.

<p>False (B)</p> Signup and view all the answers

Hypokalemia in metabolic alkalosis can lead to increased GI motility.

<p>False (B)</p> Signup and view all the answers

Hypokalemia can lead to alkalosis by reabsorbing K+ into the bloodstream and secreting H+ into the urine.

<p>True (A)</p> Signup and view all the answers

Excessive alkali ingestion can cause metabolic acidosis.

<p>False (B)</p> Signup and view all the answers

Chronic metabolic alkalosis can occur with long-term thiazide or furosemide therapy.

<p>True (A)</p> Signup and view all the answers

Metabolic alkalosis is characterized by a low pH and a low plasma bicarbonate concentration.

<p>False (B)</p> Signup and view all the answers

In alkalosis, H+ ions are increased in the bloodstream, attracting other positive ions.

<p>False (B)</p> Signup and view all the answers

Alkalosis primarily manifests symptoms related to hypercalcemia, such as muscle cramps.

<p>False (B)</p> Signup and view all the answers

Severe vomiting or gastric suction can be a common cause of metabolic alkalosis.

<p>True (A)</p> Signup and view all the answers

Metabolic alkalosis can occur in pyloric stenosis where acidic gastric fluid is lost.

<p>True (A)</p> Signup and view all the answers

Diuretic therapy that promotes excretion of potassium can predispose to metabolic acidosis.

<p>False (B)</p> Signup and view all the answers

ACTH secretion in hyperaldosteronism and Cushing’s syndrome contributes to metabolic alkalosis.

<p>True (A)</p> Signup and view all the answers

What is a common cause of metabolic alkalosis?

<p>Severe vomiting leading to loss of stomach acid (B)</p> Signup and view all the answers

How does pyloric stenosis contribute to metabolic alkalosis?

<p>By losing acidic gastric fluid (C)</p> Signup and view all the answers

Which situation can predispose an individual to metabolic alkalosis?

<p>Use of furosemide diuretics (B)</p> Signup and view all the answers

How do the kidneys compensate in metabolic alkalosis?

<p>By increasing HCO3- excretion (A)</p> Signup and view all the answers

What role does hypokalemia play in metabolic alkalosis?

<p>It leads to increased H+ secretion into urine (B)</p> Signup and view all the answers

What is a key factor that can lead to hypoventilation in patients with metabolic alkalosis?

<p>Hypochloremia (D)</p> Signup and view all the answers

How can urine chloride levels help differentiate the causes of metabolic alkalosis?

<p>Estimating fluid volume (B)</p> Signup and view all the answers

In patients with hypovolemia due to vomiting, what urine chloride concentration is typically observed?

<p>Below 25 mEq/L (C)</p> Signup and view all the answers

How can the urine chloride concentration be used to differentiate between different causes of metabolic alkalosis?

<p>By assessing potassium levels (C)</p> Signup and view all the answers

What is a common approach for medical management of metabolic alkalosis?

<p>Correcting the underlying acid-base disorder (D)</p> Signup and view all the answers

What is the primary cause of neuromuscular symptoms in metabolic alkalosis?

<p>Decreased ionized fraction of calcium (B)</p> Signup and view all the answers

How do the kidneys attempt to reduce the alkalinity of the bloodstream in metabolic alkalosis?

<p>Conserving H+ ions (B)</p> Signup and view all the answers

What ECG abnormality is commonly associated with hypokalemia?

<p>Prominent U wave (B)</p> Signup and view all the answers

What is a characteristic finding in ABG evaluation of metabolic alkalosis?

<p>pH greater than 7.45 (B)</p> Signup and view all the answers

How do the lungs compensate for metabolic alkalosis?

<p>Increasing CO2 retention (B)</p> Signup and view all the answers

In patients with metabolic alkalosis and urine chloride concentrations lower than 25 mEq/L, what condition is likely present?

<p>Hypovolemia and hypochloremia (B)</p> Signup and view all the answers

How do the kidneys compensate for metabolic alkalosis in patients with mineralocorticoid excess or alkali loading?

<p>Increased H+ excretion in urine (A)</p> Signup and view all the answers

What is a characteristic finding in metabolic alkalosis that is associated with hypokalemia?

<p>Neuromuscular symptoms (A)</p> Signup and view all the answers

How do urine chloride concentrations help differentiate between vomiting, diuretic therapy, and excessive adrenocorticosteroid secretion as causes of metabolic alkalosis?

<p>By varying based on the underlying cause (C)</p> Signup and view all the answers

What is a method used for medical management of both acute and chronic metabolic alkalosis?

<p>Correcting the underlying acid-base disorder (C)</p> Signup and view all the answers

How do the kidneys compensate for metabolic alkalosis?

<p>Increasing bicarbonate reabsorption (A)</p> Signup and view all the answers

What ECG abnormality is commonly associated with hypokalemia in metabolic alkalosis?

<p>Prolonged QT interval (D)</p> Signup and view all the answers

Which of the following is a characteristic finding in ABG evaluation of metabolic alkalosis?

<p>Decreased bicarbonate levels (D)</p> Signup and view all the answers

What role does hypokalemia play in metabolic alkalosis?

<p>Promoting potassium reabsorption in exchange for H+ excretion (D)</p> Signup and view all the answers

How can urine chloride levels help differentiate between different causes of metabolic alkalosis?

<p>High urine chloride points to diuretic-induced alkalosis (D)</p> Signup and view all the answers

What is the primary mechanism through which the lungs attempt to compensate in metabolic alkalosis?

<p>Increasing CO2 retention (A)</p> Signup and view all the answers

How do the kidneys respond in metabolic alkalosis to maintain acid-base balance?

<p>Increased excretion of K+ and retention of H+ (A)</p> Signup and view all the answers

Which ECG abnormality is commonly associated with hypokalemia in the context of metabolic alkalosis?

<p>Prominent U wave (B)</p> Signup and view all the answers

What is a characteristic finding in ABG evaluation of metabolic alkalosis?

<p>pH &gt; 7.45 (D)</p> Signup and view all the answers

How does hypokalemia contribute to metabolic alkalosis?

<p>Reabsorption of H+ into the bloodstream (C)</p> Signup and view all the answers

More Like This

Hypokalemia vs Hyperkalemia Pre-Test
12 questions
Hypokalemia Overview and Causes
7 questions
Use Quizgecko on...
Browser
Browser