Vomiting-induced metabolic alkalosis,resulting in the loss of chloride,causes:
A) Retained sodium to bind with the chloride
B) Hydrogen to move into the cell and exchange with potassium to maintain cation balance
C) Retention of bicarbonate to maintain the anion balance
D) Hypoventilation to compensate for the metabolic alkalosis

Question

Quizplus · Accepted Answer

When vomiting with the depletion of ECF and chloride (hypochloremic metabolic alkalosis)causes acid loss,renal compensation is not effective; the volume depletion and loss of electrolytes (sodium [Na⁺],potassium [K⁺],hydrogen [H⁺],chlorine
[Cl-])stimulate a paradoxic response by the kidneys.The kidneys increase sodium and bicarbonate reabsorption with the excretion of hydrogen.Bicarbonate is reabsorbed to maintain an anionic balance because the ECF chloride concentration is decreased.The other options do not accurately describe the mechanism that results from vomiting-induced metabolic alkalosis.

Vomiting-Induced Metabolic Alkalosis,resulting in the Loss of Chloride,causes