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A 52 year alcoholic is hospitalised with gross distention of his abdomen. He gives a history of varices for two years. On examination, he has bilateral pedal edema adn spider angiomaas over hands. Liver biopsy is suggestive of clear alcoholic cirrhosis. Which kind of acid base disorder is most common in this kind of liver disease?
A. Metablic alkalosis
B. Anion gap metabolic acidosis
C. Non anion gap metabolic acidosis
D. Respiratory acidosis
E., Respiratory alkalosis
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dd..resp acidosis bcz of hypo ventilation (destetnded abd)
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chronic liver disease leads to accumulation of progesterone ,which leads to stimulatory effect on respiratory centre-tachypnea which leads to respiratory alkalosis.
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it is usually respiratory alkalosis but depends on the real clinical scenario
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the correct answer is E. it's respiratory alkalosis caused by overt progesterone. Besides, when the abdomen is distended with fluid( ascites), the patient has to breath faster to take in enough oxygen. Hence they develop alkalosis
