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Extreme alkalaemia with mixed alkalosis due to suspected acute-on-chronic respiratory alkalosis

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Herein we present a case of severe alkalaemia (pH 7.81) due to suspected acute-on-chronic respiratory alkalosis in a patient with chronic anxiety and metabolic alkalosis secondary to emesis. The patient… Click to show full abstract

Herein we present a case of severe alkalaemia (pH 7.81) due to suspected acute-on-chronic respiratory alkalosis in a patient with chronic anxiety and metabolic alkalosis secondary to emesis. The patient was managed in the intensive care unit with significant improvement and discharged in stable condition. The case report emphasises considering a broad differential of aetiologies that can cause acid–base status derangements and identifying the appropriate therapeutic approach.

Keywords: due suspected; alkalosis; respiratory alkalosis; chronic respiratory; acute chronic; suspected acute

Journal Title: BMJ Case Reports
Year Published: 2023

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