Metabolic Alkalosis, Bedside and Bench

Although significant contributions to the understanding of metabolic alkalosis have been made recently, much of our knowledge rests on data from clearance studies performed in humans and animals many years ago. This article reviews the contributions of these studies, as well as more recent work relating to the control of renal acid-base transport by mineralocorticoid hormones, angiotensin, endothelin, nitric oxide, and pottasium balance. Finally, clinical aspects of metabolic alkalosis are considered.

Keywords: metabolic alkalosis, acid-base regulation, bicarbonate transport, urinary acidification, endothelin, angiotensin, aldosterone