View Full Chapter Figures Only Tables Only Videos Only Print Share Email Send Email Your Name (required) ! Example: John Doe Email Address (required) ! Please enter a valid sender email address. Example: email@example.com CC Me Recipient Email Address (required) ! Separate multiple email address with semi-colons (up to 5). Subject Subject for your email. Message (Maximum characters: 1,000) Please enter your name Please enter your email address Please enter a valid recipient email address. Example:firstname.lastname@example.org Submit Cancel Thank you! Your email has been sent to: The recipient(s) will receive an email message that includes a link to the selected article. Recipients may need to check their spam filters or confirm that the address is safe. Return to: Send Another Email An error has occurred sending your email(s). Please try again later or contact an administrator at OnlineCustomer_Service@mheducation.com. Return to: Twitter Facebook Linkedin Reddit Get Citation Citation AMA Citation Alkalosis, Metabolic. In: Doherty GM. Doherty G.M. Ed. Gerard M. Doherty.eds. Quick Answers Surgery New York, NY: McGraw-Hill; 2010. http://accesssurgery.mhmedical.com/content.aspx?bookid=853§ionid=49661982. Accessed June 29, 2017. MLA Citation . "Alkalosis, Metabolic." Quick Answers Surgery Doherty GM. Doherty G.M. Ed. Gerard M. Doherty. New York, NY: McGraw-Hill, 2010, http://accesssurgery.mhmedical.com/content.aspx?bookid=853§ionid=49661982. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © Copyright Tools Search Book Top Return Clip Alkalosis, Metabolic + Essential Features Print Section + • Elevated serum pH (> 7.45)• Increased serum HCO3 ++ Epidemiology + • Most common acid-base disturbance in surgical patients• Pathogenesis involves loss of H+ via NG suction, volume depletion, and hypokalemia + Clinical Findings Print Section ++ Laboratory Findings + • Elevated serum pH• Increased serum HCO3• Paradoxical aciduria• Hypokalemia + Diagnostic Considerations Print Section + • May be mixed, most commonly with respiratory acidosis, but ventilatory compensation is limited• Usually marked volume depletion + Work-up Print Section + • Serum electrolytes• ABG measurement• Urine electrolytes• Urine pH + Treatment and Management Print Section + • Fluid resuscitation (usually with normal saline)• Potassium repletion as KCl ++ Treatment Monitoring + • Serial ABG measurement ++ Prognosis + • Excellent ++ Prevention + • Maintain euvolemia• Potassium supplementation + Resources Print Section ++ References ++Adrogue HJ et al. Management of life-threatening acid-base disorders. (Two parts.) N Engl J Med. 1998;338:26, 107.