This could disguise the presence of a renal tubular acidosis in an acidotic patient or a coexistent unmeasured anion in a patient with metabolic alkalosis
A search of literature revealed that the [beta] lactam group of drugs (penicillin, carbacellin) are indeed associated with metabolic alkalosis
which occurs because of presence of nonreabsorbable anion, which increases K+ and H+ excretion, leading to metabolic alkalosis
Both diuretics and licorice-induced HP are usually associated with metabolic alkalosis
, in contrast to the metabolic acidosis seen in our two cases.
The generation and maintenance of metabolic alkalosis
is relatively common with the administration of loop diuretics and concurrent hypokalemia.
Intraoperative monitoring ruled out other potential causes for convulsions such as hypoglycaemia, hypoxia and respiratory alkalosis
After manual ventilation, all patients showed a marked respiratory alkalosis
, whereas after ventilation with the transport ventilator there were no appreciable changes in pH or PaC[O.
Several mechanisms associated with alcoholism contribute to the magnesium deficiency, including urinary Mg wastage, malnutrition, gastrointestinal losses, phosphate deficiency, acidosis/ alkalosis
, vitamin D deficiency, and free fatty acidemia associated with alcohol (ethanol) withdrawal .
Potassium chloride ER is indicated for the treatment of patients with hypokalemia with or without metabolic alkalosis
, in digitalis intoxications, in patients with hypokalemic familial periodic paralysis, and for the prevention of hypokalemia in patients who would be at particular risk if hypokalemia were to develop (digitalized patients or patients with significant cardiac arrhythmias, hepatic cirrhosis with ascites, states of aldosterone excess with normal renal function, potassium-losing nephropathy, and certain diarrheal states).
Nevertheless, bicarbonate should be administered sparingly as these patients frequently may swing over to metabolic alkalosis
2] and water, resulting in a positive strong-ion difference which may lead to metabolic alkalosis
The main drawback of all these procedures is high additional sodium delivery due to combined infusion of trisodium citrate and sodium bicarbonate, which may lead to hypernatraemia and metabolic alkalosis
We report the case of a 53-year-old female who received a fatal chemical burn due to extravasation from a subclavian central venous catheter of hydrochloric acid infused to correct severe metabolic alkalosis
Noncritical hypocalcemia and metabolic alkalosis
have been associated with such treatment .
If this difference is not taken into account when dosage is calculated, a dialysis patient may suffer metabolic alkalosis
, a condition caused by elevated levels of bicarbonate in the blood stream.