Metabolic alkalosis laboratory findings

Metabolic alkalosis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Metabolic alkalosis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Metabolic alkalosis laboratory findings On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Metabolic alkalosis laboratory findings All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Metabolic alkalosis laboratory findings
CDC on Metabolic alkalosis laboratory findings
Metabolic alkalosis laboratory findings in the news
Blogs on Metabolic alkalosis laboratory findings
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Metabolic alkalosis laboratory findings

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

Overview

Laboratory findings consistent with the diagnosis of Metabolic Alkalosis include ABG (pH >7.45, HCO3 >26 mEq/L, PCO2 compensates for increased HCO3 by decreasing.), high or low Serum aldosterone/Serum renin, and Urine analysis with Urine pH and high or low Urine chloride and sodium.

Laboratory Findings

• Laboratory findings consistent with the diagnosis of Metabolic Alkalosis
  • ABG (pH >7.45, HCO3 >26 mEq/L, PCO2 compensates for increased HCO3 by decreasing.)
  • Basic metabolic panel showing electrolytes imbalance.
  • Serum renin and aldosterone:
    • High Renin, High aldosterone:• Malignant hypertension • renovascular hypertension • Renin secretin tumor
    • Low Renin, High aldosterone:• Aldosterone secreting tumor • Adrenal hyperplasia • Glucocorticoid remediable aldosteronism
    • Low Renin, Low Aldosterone:• Licorice • Liddle's syndrome • Enzyme deficiency
  • Urine analysis with Urine pH and Urine chloride and sodium: low urine Cl(• Gastric: Vomiting, NG suction • Lower bowel: Villous adenoma, chloridorrhea, laxative abuse), high urine Cl (• Non-reabsorbed ions: Penicillin • Impaired tubular transport: Loop and thiazide diuretics, Bartter's and Gitelman's disease, Hypomagnesaemia)

• Some patients with Metabolic alkalosis may have severely reduced GFR with azotemia, which is usually suggestive of renal failure.