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- 12:29, 21 February 2023 Nikolas talk contribs created page 78. Metabolic alkalosis. Causes, compensation, consequences (Created page with "In metabolic alkalosis we have: * pH above 7.45 * Elevated standard (and actual) serum bicarbonate * Often a compensatory increase in pCO2 * Increased buffer base * Positive base excess Because it is a metabolic condition is the primary cause an increase in standard bicarbonate. This increases the 20:1 ratio. The lungs will start to retain more CO2, which increases the ratio toward 20:1 again. It typically occurs because of loss of H+ ions but can also occur because o...") Tag: Visual edit