<prompt> Which of the following occur as a result of persistant vomiting?HyperkalemiaHypochloraemiaHyperventilationAcidic urine excretion  <response>: Hypochloremia usually manifests when its levels are If the urinary Cl- levels are higher 40 mEqL, then hypochloremia may be secondary to volume overload or dilution. Increased urinary Cl- can also result from increased mineralocoicoid activity, which leads to the retention of HCO3- and Na at the expense of H, K, and Cl-. The treatment of chloride-responsive metabolic alkalosis urinary Cl- 10 mEqL is IV NS administration. Ref: Tintinallis Emergency Medicine : A Comprehensive Study Guide, 7 Edition, Chapter 21 ; Harrisons Principles of Internal Medicine, 18th Edition, Chapter 45. 