Metabolic Alkalosis Made Easy

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This is a concise tutorial on metabolic alkalosis.
N.B.: This video is for educational purposes only. Please consult your specialist physician before managing your patients.
Done by Dr. Wayel Zanjir

[@medtube5411]

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[@dardoura]

dude explains like he's hurrying to finish and go game because the whole squad is online, cool video, very well explained

[@dardoura]

@Eleonore Leopardi sure

[@asaipillaisaurathan5645]

Nice 🎉

[@taayseerify]

Well done Dr. Wayel, thank you for your help! From a final year medical student preparing for Step 2 CK :)

[@medtube5411]

+taayseerify You're welcome and good luck! Make sure you go through the question banks as much as possible :)

[@mercedesbenzjones6633]

zabardast lectures.thanks sir.

[@maryzein]

Thanks so much

[@soalypin4782]

Ok, that intro music tho.

[@bahiachibi895]

Amazing thanks

[@sahandsoltani6094]

Urine chloride concentration is less than 20mEq/L( not more than 20) is chloride responsive metabolic alkalosis.

[@elena.derm1]

Excellent video! You explained everything clearly! However, I have one question: you said that Hypokalemia triggers metabolic alkalosis by 2 mechanisms which are of course correct. I read in my book that there's also a third mechanism: "hypokalemia promotes HCO3- reabsorption at the level of proximal convoluted tubule". Is that correct? And if yes, why does this happen?
I'm having my pathophysiology exam in a few days and I would really appreciate it if you could help me with is!
Thank you in advance!

[@medtube5411]

Thanks for your feedback! To answer your question, I believe the mechanism is that hypokalemia causes more hydrogen ion secretion to the tubular lumen, and therefore, more bicarbonate reabsorption afterwards from the tubular lumen.
However, I believe there are even more mechanisms on how hypokalemia causes and maintains metabolic alakalosis. There are five mentioned in this article in Medscape: emedicine.medscape.com/article/243160-overview#a5

[@sumathybalaji5252]

Good video

[@Rajens44]

So in hyperaldosteronism treated with spironolactone would that correct the Metabolic Alkalosis

[@dr.mohamedabdulkadir7385]

Yes because it will block aldosterone receptor then decrease k and H loss which r the causes of metabolic alkalosis in this case

[@modelynmarietabula6865]

What is the difference between chronic and acute metabolic alkalosis?

[@rozaadnan7723]

Thanksssssssssssssssssss

[@angela1981]

So if my carbon dioxide is elevated does that mean I have metabolic alkalosis

[@satnamsandhu5685]

why is milk intake important?

[@satnamsandhu5685]

also, would you consider the continuous (i.e every day for 3 years) in-take of fresh lime tea as alkali administration? i am asking because lime is also a citric acid..

[@butacosmin]

thei video is really good but i had to stol since you talk way too fast i can t really keep up abd pausing the video every 2 seconds isn't really doing it