Metabolic Alkalosis
Medically reviewed by Drugs.com. Last updated on Apr 6, 2025.
What is metabolic alkalosis?
Metabolic alkalosis is a condition caused by the loss of potassium or chloride in your blood, tissues, and muscles.
What are the signs and symptoms of metabolic alkalosis?
- Slow breathing
- Fast or irregular heartbeats, dizziness, or lightheadedness
- Blue skin or nails
- Confusion or feeling irritable
- Muscle cramps or spasms
- Trouble breathing
What increases my risk for metabolic alkalosis?
- Repeated vomiting, severe diarrhea, or stomach suctioning
- Family history of metabolic alkalosis
- Worsening kidney function
- Medicines such as steroids, laxatives, or certain diuretics (water pills)
- Overuse of bicarbonates, such as baking soda or antacids
Drugs used to treat this and similar conditions
Treatment options
The following list of medications are related to or used in the treatment of this condition.
How is metabolic alkalosis diagnosed and treated?
Your healthcare provider will check the bicarbonate, potassium, and chloride levels in your blood or urine. Your provider will treat the cause of your metabolic alkalosis. You may be given medicines to replace sodium, potassium, or chloride, stop you from vomiting, or regulate your heartbeat. You may also be given fluid through an IV. Extra fluid helps remove substances such as bicarbonate that caused your metabolic alkalosis.
Call your local emergency number (911 in the US) if:
- You have trouble breathing.
- You are dizzy, confused, or lose consciousness.
- You have a seizure.
When should I call my doctor?
- You have questions or concerns about your condition or care.
Care Agreement
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