ABG Part 4 [metabolic alkalosis]
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 23 August 2018
⏱️ 5 minutes
🧾️ Download transcript
Summary
This is the final lecture in our ABG mini series. Today, we're going to finish it all off with metabolic alkalosis.
This has the potential for some really bad complications: seizures, arrhythmias, electrolyte abnormalities, and death.
The patients with alkalosis should definitely scare you most.
So, let's dive right in!
-
Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
https://medgeeks.co/about-us
-
Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:
-
This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Team, Zach here for med geeks, finally, the last acid-based disorder lecture. |
| 0:08.0 | Thank gosh. Well, this one's going to be quick. So last but not least, metabolic alkalosis. |
| 0:15.5 | This one scares me the most actually because an alkalosis is simply bad, |
| 0:20.2 | aka bad complications, seizures, arrhythmias electrolyte abnormalities |
| 0:25.1 | aka death. I get much more afraid of an alkalosis than I do an acidosis. |
| 0:31.6 | So quickly once again what are the normals you should be able to |
| 0:35.6 | rattle these off right now. Normal pH 7.35 to 7.45 if the pH is less than 7.35.5. If the pH is less than 7.35, |
| 0:44.0 | Acidemia. If the pH is greater than 7.45, |
| 0:48.4 | alkylemia. Normal bicarb, 22 to 26, normal p.co2, 35 to 45. |
| 0:57.1 | Generally speaking, pH and bicarb, |
| 0:59.4 | they move in the same direction from normal. |
| 1:02.1 | It's a primary metabolic process. |
| 1:04.0 | pH and PCO2 move in opposite direction from normal. |
| 1:08.0 | It's a primary respiratory process. |
| 1:11.0 | So, as we do in the past three lectures, what are common primary metabolic |
| 1:17.3 | alkalosis disorders? I'm going to keep it simple for you. |
| 1:21.1 | Chronic diuresis, emesis, diarrhea, enged tube suctioning, and excess |
| 1:30.5 | mineralo cortocoids. |
| 1:33.2 | So let's jump right into a case. |
| 1:35.7 | 65 year old male with a past medical history of heart failure |
| 1:39.6 | preserved ejection fraction on chronic PO LASIK for lower extremity edema presents |
| 1:46.2 | with four days of vomiting after eating a bad meal. The A, B, G reveals pH of 7.50, P. CO2 of 43, and a bicarb of 34. |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Medgeeks, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Medgeeks and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.