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    In Metabolic Acidosis, there is -
    Question

    In Metabolic Acidosis, there is -

    A.

    Excessive loss of sodium

    B.

    Excessive loss of potassium

    C.

    Excessive loss of bicarbonates

    D.

    Decrease in chloride levels

    Correct option is C


    Ans. (c) Excessive loss of bicarbonates
    Explanation:
    Metabolic Acidosis is a condition where there is an excess of acid or a loss of bicarbonate (HCO₃⁻) in the body, leading to a low blood pH (<7.35).
    Causes of Metabolic Acidosis:
    Excessive loss of bicarbonates (HCO₃⁻) is the primary cause → Seen in:
    · Severe diarrhea (loss of HCO₃⁻ in stool).
    · Renal failure (impaired bicarbonate reabsorption).
    · Diabetic ketoacidosis (DKA) (acid buildup).
    · Lactic acidosis (due to hypoxia or shock).
    Why are the other options incorrect?
    1. Excessive loss of sodium ❌ (Incorrect Choice)
    · Sodium (Na⁺) imbalance may occur in some metabolic disorders, but it does not directly cause metabolic acidosis.
    2. Excessive loss of potassium ❌ (Incorrect Choice)
    · Metabolic acidosis is associated with hyperkalemia (high K⁺), not excessive loss.
    · Acidic blood shifts H⁺ ions into cells and pushes K⁺ into the bloodstream.
    3. Decrease in chloride levels ❌ (Incorrect Choice)
    · Metabolic acidosis is usually associated with normal or increased chloride levels (Hyperchloremic Acidosis).
    · Decreased chloride (hypochloremia) is more common in metabolic alkalosis.

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