Follow by Email

Friday, February 13, 2015

Metabolic Alkalosis Study Guide

Metabolic Alkalosis, acid-base imbalance, vomiting, suction, antacids, pH, bicarb

Metabolic Alkalosis Study Guide

Metabolic Alkalosis is another acid-base imbalance. In this imbalance there is a high pH and a high bicarbonate concentration. It can happen from a gain in bicarb or a loss of hydrogen ions. This post will cover the causes, signs and symptoms, and treatments of metabolic alkalosis.

Metabolic Alkalosis is a pH above 7.45 and a bicarb above 26. The norm for pH is 7.35-7.45. The norm for HCO3 is 22-26.

This is the third post in a five post series on acid-base imbalances. So if you haven't check them out you might want to look at these posts first, then pop back onto this post.

ABGs: The Ultimate Beginners Guide
Metabolic Acidosis
Respiratory Acidosis
Respiratory Alkalosis

Ok. Here's a chart for a quick review:

ROME: Respiratory Opposite. Metabolic Equal.

Remember Metabolic Acidosis is from the ass (diarrhea). Just think, it puts the ass in acidosis. Hey, whatever helps me remember things, right?

Metabolic Alkalosis is from the mouth (vomiting)

Don't you love my inappropriate humor?? ;)

ABGs, Arterial Blood Gases, nurse, lab draws, respiratory alkalosis, respiratory acidosis, metabolic alkalosis, metabolic acidosis, pH, Acid-Base Imbalances


  • Vomiting/ Gastric Suction- This is important to monitor
  • Hypokalemia
  • Hyperaldosteronism
  • Cushing's
  • Ingesting too much alkali (such as antacids)
  • Potassium- losing diuretics (because this causes hypokalemia-- thiazides, furosemide, ethacrynic acid)

Signs and Symptoms

  • Dizziness
  • Tingling- fingers and toes
  • Depressed respirations- compensatory mechanism
  • Headache
  • Confusion
  • Lethargy
  • Arrhythmia- typically as tachycardia
These symptoms can often be similar to hypocalcemia because ionized calcium is decreasing by combining with proteins in alkalosis. Potassium can also be low (< 3.5) because of alkalosis.


Like everything, it matters what the cause of the alkalosis is so that you can properly treat it. Administer 0.9% Normal Saline and supplement low potassium levels. Chances are potassium is low and chloride can be low from vomiting-- thus the treatment. If it's caused by the patient's diuretic, you might consider switching prescriptions.

Ok. Have fun kids!

I didn't go into too many details on this post, so if you'd like more information I have an ebook on for $3.99 that explains everything so much better. I also work through practice problems with you- step by step. I know how confusing this can be. It took me four different teachers, and four different classes until I FINALLY learned acid-base imbalances the correct way. So check it out! Easy Guide to Interpret Acid-Base Imbalances. It's cheaper than your lunch, and you don't even need to have a kindle to read it!! Thanks!!

Is there anything that you're struggling with in school that you'd like for me to discuss??? Leave a comment below!!



  1. This comment has been removed by a blog administrator.

  2. i like sir your post about study. thanks for share a great one blog . lovely post How to Build Social Media into Your Marketing Strategy share. I like your all post.

  3. Wonderful awesome clicks n pics..PassBeeMedia i love sweet pan n was not aware of the exact ingredients .. superb.. let me for sure try job board

  4. I want you to thank for your time of this wonderful read!!! I definately enjoy every little bit of it and I have you bookmarked to check out new stuff of your blog a must read blog!good mortgage companies

  5. For those who have had a study done for me personally, I would have studied the research regularly in United States, which trained me how to use or benefit or I actually would like to be aware of

  6. Pinning this so I can look at the links when I'm less tired! My son has some affinity for Africa due to a meerkat obsession, and he's been considering his world map of past due, so this might be a good time to look for some more ideas that could appeal to him.

  7. I have 2 of our 4 children who were homeschooled for awhile. They did very well in school. One just got her MS and the youngest is in college and carrying quite a load.
    Thanks for sharing.

  8. I am impressed by the quality of information on this website. There are a lot of good resources here. I am sure I will visit this place again soon.

  9. I’m still studying from you, however I’m enhancing myself. I actually love reading every part that is written in your blog.Keep the tales coming. I loved it!

  10. First You got a great blog .I will be interested in more similar topics. i see you got really very useful topics , i will be always checking your blog

  11. This is a great inspiring article. I am pretty much pleased with your good work. You put really very helpful information. Keep it up. Keep blogging. Looking to reading your next jersey exterminators

  12. Easily, the article is actually the best topic on this registry related issue. I fit in with your conclusions and will eagerly look forward to your next updates. Just saying thanks will not just be sufficient, for the fantasti c lucidity in your writing. I will instantly grab your rss feed to stay informed of any updates.exterminator new jersey

  13. This comment has been removed by the author.

  14. I might suggest solely beneficial in addition to trusted facts, and so find it:Lithium polymer battery

  15. To Help admin to raise the rating site, let us as visitors fill out a comment in the comments field that has been provided as a thank you for the information.mommy makeover dallas

  16. Thanks for this great post. Download nova launcher app from: how to use nova launcher

  17. Great! really loved to read this post. Get latest clone hero update from this website: clone hero update

  18. I was very pleased to find this site.I wanted to thank you for this great read!! I definitely enjoying every little bit of it and I have you bookmarked to check out new stuff you post. Fence Academy

  19. It is interesting to read your blog post and I am going to share it with my site with you. PLease go to Twitter

  20. I am happy to find this post Very useful for me, as it contains lot of information. I Always prefer to read The Quality and glad I found this thing in you post. Thanks get free instagram likes famoid