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metabolic alkalosis

An acid-base imbalance in which the blood holds too much bicarbonate, so its pH rises above 7.45.

met-uh-BOL-ik al-kuh-LOH-sis noun

Word parts

alkal base (the opposite of acid)-osis condition

What it means

On an arterial blood gasar-TEER-ee-ul BLUD GASA blood test from an artery that measures oxygen, carbon dioxide, bicarbonate and the blood's pH.Full entry , the pH is above 7.45 and the bicarbonate (HCO3) is above 26 mEq/L. The body has lost acid or gained base: common causes are vomiting, nasogastric suction, some diuretics and taking too much antacid or baking soda. The lungs try to balance it by slowing breathing to hold on to carbon dioxide. It often comes with low potassium (hypokalemiahy-poh-kuh-LEE-mee-uhA blood potassium level below normal, under 3.5 mEq/L.hypo- belowkal potassium (from its Latin name, kalium)-emia in the bloodFull entry ).

For the nurse

Watch for muscle twitching, cramps, tingling, confusion and heart rhythm changes, and check the potassium level. Measure and record vomiting and nasogastric tube output, since both remove stomach acid.

At a glance

Spanishalcalosis metabólica

Related terms

hypokalemia

A blood potassium level below normal, under 3.5 mEq/L.

-osis

A word ending that means an abnormal condition or process, or an increase.

nasogastric tube

A thin, flexible tube passed through the nose and down the esophagus into the stomach.

arterial blood gas

A blood test from an artery that measures oxygen, carbon dioxide, bicarbonate and the blood's pH.

homeostasis

The body's way of keeping its inside conditions, such as temperature, fluids and blood sugar, steady.

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