Lecture 2 Metabolic Alkalosis

Question 1

4 ways to generate a metabolic alkalosis:

1. excessive loss of ____.
2. movement of ___ into cells.
3. gain of ____.
4. ____ of volume around a constant amount of extra-cellular ____

Answer 1

H+;
H+;
HCO3;
Contraction, HCO3

Question 2

metabolic alkalosis often coincides with ____ depletion and high ____.

Answer 2

volume;

aldosterone

Question 3

which 2 types of diuretics cause metabolic alkalosis?

Answer 3

loop, thiazide

Question 4

increased delivery of __ to the distal tubule causes an exchange of it for ___ and ___, causing metabolic alkalosis

Answer 4

Na;

H and K

Question 5

urine ____ can help characterize volume status

Answer 5

chloride

Question 6

which 2 general causes of metabolic alkalosis are associated with volume depletion and a decrease in Cl?

Answer 6

vomiting, diuretics

Question 7

do vomiting and diuretics respond to saline infusion

Answer 7

yep

Question 8

____ is an example of metabolic alkalosis with increased Cl and increased volume

Answer 8

mineralcorticoid excess (ie hyper-aldosteronism)

Question 9

does hyperaldosteronism causing metabolic alkalosis improve with saline?

Answer 9

no

Question 10

according to Rapid Review, what is the most dangerous sequeale of metabolic alkalosis?

Answer 10

ventricular arrhythmia

Question 11

metabolic alkalosis is typically accompanied by ___kalemia

Answer 11

hypo