NURSING ANM AND GNM

Detailed explanation-1: -Severe alveolar hypoventilation occurred as a response to metabolic alkalosis in a patient without significant pulmonary disease. The alkalosis was associated with marked hypochloremia from loss of gastric fluid.

Detailed explanation-2: -As a result, metabolic alkalosis will persevere if the ability to eliminate bicarbonate is impaired due to one of the following causes: hypovolemia, reduced effective arterial blood volume, chloride depletion, hypokalemia, reduced glomerular filtration rate, and/or hyperaldosteronism.

Detailed explanation-3: -When you breathe faster, the lower carbon dioxide level in your blood can lead to respiratory alkalosis. Respiratory alkalosis is usually caused by over-breathing (called hyperventilation) that occurs when you breathe very deeply or rapidly. Causes of hyperventilation include: Anxiety or panic.

Detailed explanation-4: -Hypochloremic alkalosis results from either low chloride intake or excessive chloride wasting. Whereas low chloride intake is very uncommon, excessive chloride wasting often occurs in hospitalized children, usually as a result of diuretic therapy or nasogastric tube suctioning.