The Internet Book of Critical Care Podcast
IBCC Episode 57 - Metabolic Alkalosis
Sep 26, 2019
The podcast explores metabolic alkalosis and its complications, including cardiac arrhythmia. It discusses the causes and investigations of metabolic alkalosis, emphasizing the importance of urine chloride and potassium levels. The role of the RAS system in metabolic alkalosis and treatment options are also explored, including volume and electrolyte replacement, diuretics, and ventilation changes.
17:51
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Quick takeaways
- Metabolic alkalosis can be diagnosed as isolated or combined with metabolic acidosis, and symptoms may include altered mental status, seizures, carpal spasms, and paresthesias.
- Treatment options for metabolic alkalosis include volume replacement, electrolyte repletion, medications like acetazolamide and spironolactone, and addressing contributing factors for a comprehensive approach.
Deep dives
Diagnosis and Symptoms of Metabolic Alkalosis
Metabolic alkalosis can be diagnosed as isolated metabolic alkalosis or combined with metabolic acidosis. Symptoms may include altered mental status, seizures in severe cases, symptomatic hypocalcemia, carpal spasms, and paresthesias. Hypoventilation may occur, but it is generally not a significant issue unless there are other complications.
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