Article Text
Case Reports: Reminder of important clinical lesson
Extreme alkalaemia with mixed alkalosis due to suspected acute-on-chronic respiratory alkalosis
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.
- Intensive care
- Medical management
- Anxiety disorders (including OCD and PTSD)
- Fluid electrolyte and acid-base disturbances