Hypochloremia

Aka: Hypochloremia, Low Serum Chloride

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II. Pathophysiology

  1. Serum Chloride 1 meq/L drop: 1% all body Chloride fall

III. Causes

  1. Metabolic Alkalosis
    1. Vomiting
    2. Diarrhea
    3. Diuretics
    4. Gastric suction (NG Suction)
    5. Respiratory losses
    6. Steroid medications
  2. Hyponatremia
    1. Adrenal Insufficiency (Addison's Disease)
    2. Edematous States
      1. Congestive Heart Failure
    3. Salt-losing nephritis
    4. SIADH
    5. Renal Failure
    6. Pseudohyponatremia
    7. Excessive sweating
    8. Excessive IV D5W
    9. Thiazide Diuretics
    10. Burns

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