Question
A patient is found to have severe metabolic alkalosis that is resistant to all conventional medical remedies. What should be the next step in this patient’s management?
| A. |
Dialysis
|
| B. |
Hydrochloric acid
|
| C. |
Mechanical ventilation
|
| D. |
Administer L-arginine
|
Show Answer
|
Correct Answer � B
Explanation
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|
Ans. b Hydrochloric acid
• Hydrochloric acid is indicated for the treatment of severe metabolic alkalosis. It is also indicated when sodium or potassium chloride cannot be utilized because of volume overload or advanced renal failure.
• Hydrochloric acid is often required in patients that have arrhythmias, liver failure, or digoxin toxicity.
• Where possible, a nephrologist should be consulted and dialysis should be initiated.
• Chloride-responsive alkalosis is easily corrected with the infusion of sodium chloride solution.
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