Categories
Metabolic Alkalosis Physiotherapy

Common Causes of Metabolic Alkalosis

In this article we will discuss various Common Causes of Metabolic Alkalosis

In this article, we will discuss various Common Causes of Metabolic Alkalosis. So, let’s get started.

Causes

1. Saline-responsive (normotensive extra-cellular volume contraction and hypokalemia)

A. Excessive body bicarbonate content

i. Renal alkalosis

  • Diuretic therapy
  • Drugs, e.g. carbenicillin, penicillin, sulphate, phosphate
  • Posthypercapnia

ii. Gastrointestinal alkalosis

  • Vomiting or nasogastric aspirations
  • Diarrhea (chloride loss)
  • Sodium citrate, lactate, gluconate, acetate
  • Transfusions
  • Antacids

B. Normal body bicarbonate content

  • Contraction alkalosis

2. Saline-unresponsive (normotensive or hypertensive normovolemia or hypervolemia)

A. Excessive body bicarbonate content

i. Normotensive

  • Severe potassium depletion
  • Bartter syndrome
  • Refeeding alkalosis
  • Hypercalcemic and hypoparathyroidism

ii. Hypertensive

  • Hyper-reninism, primary aldosteronism
  • Liddle syndrome
  • Exogenous alkali
  • Exogenous mineralocorticoids
  • Liquorice use

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.