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Tuesday, December 18, 2012

Metabolic Alkalosis

Question: Which lab value helps to determine the type of metabolic alkalosis?Answer: Urine Chloride.  If Urine Cl < 15 then it is chloride responsive metabolic alkalosis, meaning that chloride is lost via vomiting or through the kidney.  If Urine Cl > 15 than it is chloride resistant, meaning that chloride is retained secondary to exogenous bicarbonate administration or hyperaldosteronism
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