Check HCT: > 40% = ECFV contraction
↑
HCO3 - Bicarbs
causes intracellular shift of
K Potassium (3.5-5)
→
Hypokalemia - ↓K (<3.5)
Through
Ammoniagenesis
→ ↓ K⁺, H⁺ in body (increased secretion via
H⁺/K⁺-ATPase
) →
more alkalosis
→ even harder to correct the hypokalemia (because alkalosis drives K⁺ into cells)