Acute & emergency · UKMLA & AKT

Metabolic alkalosis

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

Key high-yield points

  • Metabolic alkalosis = primary rise in HCO3- shifting pH >7.45. The exam question here tests recognition that DKA produces metabolic acidosis with a HIGH anion gap - the opposite picture to metabolic alkalosis.

DKA causes metabolic acidosis with increased anion gap (not metabolic alkalosis). pH <7.35, low HCO3-, high anion gap - the classic trap question.

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