All are useful for treatment of metabolic alkalosis except?: (A) Sodium chloride, (B) Potassium chloride, (C) Hydrochloric acid, (D) Ammonium chloride
Answer is D. Normal saline is useful if volume contraction is present PPI is given if H+ is lost from stomach or kidney Dilute HCL (0.1N HCL) can be effective but can lead to hemolysis and hence should be given slowly a central line KCL will correct K+ deficits due to hyperaldosteronism