What is the treatment for hypokalemic metabolic alkalosis?

Updated: Dec 06, 2018
  • Author: Eleanor Lederer, MD, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

If the patient is not hypertensive but has hypokalemic metabolic alkalosis, and diuretic use and bulimia have been excluded, then possibilities include Bartter syndrome and Gitelman syndrome. If patients have metabolic acidosis, the most common cause is diarrhea. If this is not present, then the most likely possibility is a distal renal tubular acidosis, as might be seen with amyloid or amphotericin use or with glue sniffing.


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