Medical Surgical Chloride #5

Question

Which medical condition can contribute to hyperchloremia in the body?

Answers

  1. Thyroidectomy
    • Rationale:

      This answer is not correct because a thyroidectomy contributes to hypocalcemia due to the removal of the parathyroid glands that regulate calcium in the body. Hyperchloremia can occur in the body due to the kidney’s inability to remove enough acid from the body, such as in kidney failure.

  2. Paget’s disease
    • Rationale:

      This answer is not correct because Paget’s disease is related to an imbalance in calcium, not chloride. Hyperchloremia can occur in the body due to the kidney’s inability to remove enough acid from the body, such as in kidney failure.

  3. Kidney failure
    • Rationale:

      This answer is correct because hyperchloremia can occur in the body due to the kidney’s inability to remove enough acid from the body, such as in kidney failure. This can result in metabolic acidosis.

  4. Pernicious anemia
    • Rationale:

      This answer is not correct because pernicious anemia is related to the inability to absorb B12. Hyperchloremia can occur in the body due to the kidney’s inability to remove enough acid from the body, such as in kidney failure.

Overview

Hyperchloremia can occur in the body due to the kidney’s inability to remove enough acid from the body. Hyperchloremia is an abnormally elevated chloride level (>107 mEq/dL).

Explanation

Learning Outcomes

Hyperchloremia is an abnormally elevated chloride level (>107 mEq/dL). This is caused by conditions including extreme diarrhea, kidney disease, extreme intake of salt, metabolic acidosis, respiratory alkalosis, and bromide poisoning. Hyperchloremia can occur in the body due to the kidney’s inability to remove enough acid from the body, such as in kidney failure. This can result in hyperchloremic acidosis. Hyperchloremic acidosis is a metabolic acidosis that can occur in a client who has had extreme loss of base, such as in persistent severe diarrhea. In response to this acidosis, the body retains chloride. Symptoms include extreme thirst, hypertension, dry mucous membranes, fatigue, and weakness.

Test Taking Tip

Remember what the kidneys do. Understanding the anatomy and physiology will help direct your answer here.

Video Rationale