Metabolic alkalosis secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Marufa Marium, M.B.B.S[2]
Overview
Effective measures for the secondary prevention of metabolic alkalosis include resuccitation with airway, breathing, circulation, correction of electrolyte imbalance, and removal of inciting sources.
Secondary Prevention
- 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.