S/S of alkalosis
Increased neuromuscular irritability
Tetany, parasthesias, seizures.
confusion, lethargy
Major causes of metabolic alkalosis
Vomiting, antacids
Diuretics
Hypercalcemia
Contraction alkalosis
Contraction alkalosis
Caused by volume depletion
Dehydration, diuretics
How to treat chloride-sensitive metabolic alkalosis
IV NaCl
Urinary Cl is <10
Chloride insensitive metabolic alkalosis
Direct stimulation of kidneys to retain bicarb.
Usually caused by glucocorticoids