![](https://photos.thisispiggy.com/file/wikiFiles/L5HpqOJ.jpg)
- drive equation left, H+ down
![](https://photos.thisispiggy.com/file/wikiFiles/VZN9kC0.jpg)
Contraction
![](https://photos.thisispiggy.com/file/wikiFiles/WaqSaiu.jpg)
- contracted circulating volume
Hypokalemia
![](https://photos.thisispiggy.com/file/wikiFiles/ix6qKOH.jpg)
- low K in blood, K shift out of cells in exchange to H in, alkalosis
- hypokalemia leads to alkalosis
- alkalosis can also cause hypokalemia
Diuretics
![](https://photos.thisispiggy.com/file/wikiFiles/NtWDqiz.jpg)
- high urine Cl when using diuretics
- low urine Cl when stopped
![](https://photos.thisispiggy.com/file/wikiFiles/YKQBGmj.jpg)
- child with symptoms similar to adults taking diuretics
- increased Na delivery to CD, increased aldosterone, increased K/H secretion = hypokalemia, alkalosis
Vomiting
![](https://photos.thisispiggy.com/file/wikiFiles/pNsWivr.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/y2h0jIi.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/c1azZGY.jpg)
- "secret"
- initial high Cl because diuretics inhibit
Hyperaldosteronism
![](https://photos.thisispiggy.com/file/wikiFiles/d0XAn9K.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/Bu2HJNR.jpg)
- no fluid overload
- urinary Cl increased due to increased Na excretion
- only time low urinary Cl is vomiting
![](https://photos.thisispiggy.com/file/wikiFiles/O6LjHfF.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/k2zql9f.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/snwWvAB.jpg)
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