Metabolic alkalosis secondary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Marufa Marium, M.B.B.S[2]

Effective measures for the secondary prevention of metabolic alkalosis include resuscitation with airway, breathing, circulation, correction of electrolyte imbalance, and removal of inciting sources.

• • Effective measures for the secondary prevention of metabolic alkalosis include:
  • Maintenance of Airway, breathing, circulation if there is an unstable patient.
  • Correction of the underlying cause for HCO3 production.
  • Removal of inciting factors that reabsorb HCO3.
  • Patient should be monitored carefully with SaO2, Vital signs monitor and EKG.
  • Consider respiratory support in hypoxemic patient.
  • Avoid hyperventilation as it will worsen alkalemia.
  • Genetic analysis in patient with positive family history.
  • Congenital adrenal hyperplasia, Cushing syndrome, Conn syndrome evaluation and early treatment.

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