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Metabolic alkalosis Volume __________ – loss of HCl (__________ use), excessive mineralocorticoid (hyperaldosteronism results in excessive loss of H+ and Cl- due to reabsorption of Na+ , loss of gastric acid via vomiting or nasogastric suctioning Bicarbonate Excess – excessive intake of bicarbonate (__________abuse or sodium bicarbonate administration, hormonal disorders (_____________ syndrome with excessive production of glucocorticoids or with administration of glucocorticoids may increase renal reabsorption of bicarbonate Clinical manifestations – restlessness and __________, altered LOC, muscle tremors/cramps/tingling, nausea, vomiting, diarrhea Assessment – tachycardia, __________, lethargy, dysrhythmias, weakness Labs – pH >7.45, Bicarb >26, hypokalemia Goals – restore/correct electrolytes, IV fluid administration, address the underlying cause, ensure adequate oxygen delivery
SCIENCE
HEALTH SCIENCE
NURSING

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