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Case study metabolic alkalosis

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The journal accepts articles in Spanish or in English on the field of hospital medicine. The journal publishes original articles, clinical cases, reviews articles, history notes, issues on medical education, short communications and editorials at the invitation of the Society. All articles are double blind peer reviewed by at least 2 reviewers and finally classified as accepted or rejected by the Editorial Board. We report the case of a preterm infant of 35 weeks gestation, who presents vomiting towards the end of the first week of life. Suspected diagnosis of hypertrophic pyloric stenosis by exclusion. The ultrasound confirms the diagnosis.

Arterial Blood Gas Case Studies

Metabolic Alkalosis

Previous Case Index Index Next. An elderly woman from a nursing home was transferred to hospital because of profound weakness and areflexia. Her oral intake had been poor for a few days. Current medication was a sleeping tablet which was administered by nursing staff as needed. The history does not indicate any particular acid-base disorder.

Metabolic alkalosis – a case study report

Metabolic alkalosis may be diagnosed in two situations red arrows above :. If a decision is made to treat the alkalosis, potential treatments are listed below. Depending on the severity of the alkalosis and the clinical scenario, either one or several simultaneous therapies may be utilized. Want to Download the Episode? We are the EMCrit Project , a team of independent medical bloggers and podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM.
Topf goes deep looking at the literature and the typical decrease in bicarbonate found with acetazolamide compared to what was seen in Diablo. There is a theory that inducing metabolic acidosis in vented COPD patients will stimulate respiration and help them get off the ventilator. The respiratory acidosis is due to the primary disease and the metabolic alkalosis is due to our attempts to manage that disease, in this case with diuretics. Compensation for metabolic alkalosis is suppression of respiration to allow the carbon dioxide to accumulate reducing the change in pH. Suppressing respiration is obviously a concern in patients on the vent.
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