Profound Alkalosis and Prolonged QT Interval Due to Inappropriate Gastrostomy Tube Loss: A Case Report

Autor: Forrest Turner, Brandon Friedman, H. Pendell Meyers, Stephen W. Smith
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 8, Iss 2, Pp 138-142 (2024)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.1519
Popis: Introduction: Severe metabolic alkaloses are relatively rare but can carry a high mortality rate. Treatment involves supportive care and treatment of underlying causes. Case Report: A 55-year-old male dependent on a gastrojejunostomy tube presented to the emergency department for altered mental status. The patient had metabolic alkalosis, electrolyte abnormalities, and prolonged QT interval on electrocardiogram. Examination and history revealed that chronic drainage of gastric fluid via malfunctioning a gastrojejunostomy tube resulted in profound alkalosis. The patient recovered with supportive care, electrolyte repletion, and gastrojejunostomy tube replacement. Conclusion: This case highlights the importance of gastrointestinal acid-base pathophysiology.
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