Consequently, renal replenishment is not very effective. This is because the body may try to return such an imbalance to normalcy but the level of bicarbonate and carbon dioxide will remain destabilized (Lehne, 2012). In this case, study, metabolic alkalosis causes a HCO3 to shift above 26 meq/L with a pH above 7.45 but Paco2 remains normal.
Additionally, the release of hydrogen ions causes an increase in sodium and bicarbonates retake by the kidney. The role of Bicarbonate is to maintain an anionic balance. This is because the chloride ions in the fluid outside the cell are decreased significantly. Due to decreased concentration of potassium, hydrogen ion moves to space outside the cell to maintain an electrochemical balance. Fluids excreted outside the cells and organ like kidney remain acidic (Lehne, 2010). However, this fluid outside the cell can be returned to normalcy with a mix of sodium chloride and potassium ("Acidosis and Alkalosis: Acid Base Disorders," 2012). The volume substitution decreases renal capability to reabsorb Na+ and chloride ions. The replaced bicarbonate are now released inform of urine and hydrogen ion excretion decreases. This causes PH to return to its normal state (Lehne, 2010). The body has its own correction mechanism for metabolic alkalosis. Consequently, breathing above normal rate causes retention of CO2, increased renal excretion of bicarbonate and buildup of organic acids. When alkalosis is likely to be fatal direct correction mechanism are usually applied. This can be done by administering a standardized dose of dilute hydrochloric acid through vein in central nervous system catheter or by administering an acid forming salt. However, ammonium chloride must not be administered to patients with known conditions of liver such as liver failure because the drug is likely to cause brain failure and damage in these patients ...
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“Acid Base Case Study Essay Example | Topics and Well Written Essays - 750 Words”, n.d. https://studentshare.net/nursing/505889-acid-base-case-study.
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The Acid Base Disturbance in this patient is caused by a condition known as metabolic alkalosis. Consequently, this state occurs when the PH of the blood in arteries rise above 7.45 which is the maximum PH. The pH above 7.5 is termed as alkalemic. A general decline in hydrogen ion concentration or a surplus of base leads to alkalosis.
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