metabolic alkalosis is characterized by high hco3- as it is seen in chronic respiratory acidosis, but ph differentiates the two disorders. there is no characteristic symptom or sign. orthostatic hypotension may be encountered. weakness and hyporeflexia occur if serum k+ is markerdly low. tetany and neuromuscular irritability occur rarely. we report the results of retrospective data analysis of ...

conclusions the authors described their anesthetic experience of profound metabolic alkalosis with complex electrolyte abnormalities and provided a review of relevant literature. case presentation a 34-year-old female visited gachon university gil medical center, incheon, south korea during year 2015. she experienced aggravated renal function due to chronic hypokalemia and severe hypochloremic ...

Background: The aim of this study was to evaluate the efficacy of arterial blood gases (ABGs) in determining the type of intoxication. Methods: Medical charts of all patients who had referred to the toxicology ward of Baharloo Hospital between January 2009 and December 2009 were evaluated. After excluding the patients with multi-drug toxicity, data, including age, sex, type of intoxication ...

INTRODUCTION Although metabolic alkalosis is a common occurrence in intensive care units (ICUs), no study has evaluated its prevalence or outcomes in patients with severe sepsis or septic shock. METHODS This is a retrospective cohort study of critically ill patients suffering from severe sepsis and septic shock admitted to the ICUs of Halmstad and Varberg County hospitals. From 910 patient re...

The effects of chronic metabolic acidosis, alkalosis and alloxan-induced ketoacidosis on G6PD activity of rat kidney, liver and erythrocytes were studied. Metabolic acidosis significantly increased the activity of kidney enzyme (55%) but decreased the liver (43%) and erythrocyte (38%) enzyme activities. Alkalosis did not make a significant change in the kidney or liver enzyme activity but ...

Metabolic alkalosis is a relatively common finding in the critically ill and has a varied aetiology. We outline the fundamental principles that govern both the generation and maintenance of a metabolic alkalosis. Causes are discussed with particular attention to those which predominate in the critically ill. Signs and symptoms of metabolic alkalosis are described together with both general and ...