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What is Which of the following occur as a result of persistant vomiting? and explain in detail?
Hypochloremia usually manifests when its levels are If the urinary Cl- levels are higher (>40 mEq/L), 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 mEq/L) is IV NS administration. Ref: Tintinalli's Emergency Medicine : A Comprehensive Study Guide, 7 Edition, Chapter 21 ; Harrisons Principles of Internal Medicine, 18th Edition, Chapter 45.