• Nebr Med J · Jun 1993

    Case Reports

    Severe acute metabolic alkalosis.

    • B N Rama, J Varghese, G Genova, and S Kumar.
    • Creighton Cardiac Center, Omaha, NE 68131-2044.
    • Nebr Med J. 1993 Jun 1; 78 (6): 151-4.

    AbstractWe have presented the case of a 34 year old male patient who was admitted with severe metabolic alkalosis (MA). Peak serum HCO3 was 96 mg/dl and compensatory PCO2 was 95 which, to our knowledge, has never been reported before in a patient with MA. MA was probably generated by consumption of high amount of NaHCO3 and renal impairment and maintained by impaired renal function due to volume depletion hypokalemia and hyochloremia. The patient was successfully treated with IV administration of saline and KCL.

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