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Episode 5 - Contraction Alkalosis

The Curious Clinicians

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The Effects of Diuretics on Metabolic Alkalosis

This seems counterintuitive though. Because you'd expect there's be a lot of extra chloride delivered to the distal nephron, which would, you'd think you wouldn't be able then to sustain it. So is this like a more of a post-diuresis thing? Yeah. A lot of the tables that talk about metabolic alkalosis will separate out diuretic induced into early and late. And I think it's probably one of those two situations that we're dealing with. But what's kind of cool is if you give back chloride, you'll correct a lot.

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