Elevated Base Excess
February 7th, 2020
Overview
A base excess greater than +2 suggests the presence of metabolic alkalosis.
Causes of Elevated Base Excess
- Bicarbonate excess - milk alkali syndrome (antacids), massive transfusion, dialysis
- GI acid loss - vomiting, NG aspirates, gastric fistula
- Renal acid loss - diuretics, hyperaldosteronism, Cushing's, steroids
- Compartmental shift - hypokalaemia
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