His acid-base status was driven by an anion-gap metabolic acidosis, a metabolic alkalosis
(iatrogenic from sodium bicarbonate administration), and a respiratory acidosis (incomplete compensation).
Clinicopathologic findings of intestinal obstructions are often nonspecific, but the most common diagnostic test abnormalities are metabolic alkalosis
, hypochloremia, hypokalemia, hyponatremia, azotemia, hyperglycemia, and hemoconcentration.
A positive value indicates metabolic alkalosis
and a negative value occurs with metabolic acidosis.
Administration of bicarbonate may cause recurrent metabolic alkalosis
, serum potassium and calcium disorders and myocardial dysfunction.
3]- Respiratory Very low [up arrow] Lower than and expected metabolic acidosis Respiratory Very high [down Higher than and arrow] expected metabolic alkalosis
Metabolic [approximately Lower than [down acidosis and equal to]7.
In one study, 30% of AKA patients had a coexisting metabolic alkalosis
due to prolonged emesis (5).
His ABG shows a partially-compensated metabolic alkalosis
Initial blood tests revealed moderate hypokalemic, hypochloremic, metabolic alkalosis
Primary hyperaldosteronism (PA) is characterized by hypertension, hypokalemia, metabolic alkalosis
, suppressed plasma renin activity (PRA) and increased aldosterone excretion.
Treatment includes correction of coexisting respiratory or metabolic alkalosis
with 3 to 5 ml of IV calcium chloride or 10 to 20 ml of IV calcium gluconate.
There is a growing body of evidence to suggest that induced metabolic alkalosis
in adults improves performance in repeated short duration sprints, in single effort prolonged sprints and in prolonged intermittent exercise of high intensity (Hollidge-Horvat, 2000; McNaughton 1992; Parry-Billings and MacLaren, 1986).
Haematological investigation demonstrated that the patient had a metabolic alkalosis
with bicarbonate of 26.