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.