Vomiting alkaline

Metabolic alkalosis Increased alkalinity of body fluids caused by excessive alkali (usually bicarbonate) intake or excessive acid loss (e.g., from vomiting). 

In a human case involving ingestion of approximately 1-1.5 mg/kg, effects consisted of nausea, vomiting, and green-gray urine. Clinical changes included proteinuria and elevated serum levels of bilirubin, creatine, alkaline... 

Chloride loss Patients losing chloride by vomiting or Gl intubation are more susceptible to developing severe alkalosis if given alkalinizing agents. 

Adverse reactions occurring in 3% or more of patients include the following abnormal lab tests, back pain, flu syndrome, headache, hemoptysis, hypotension, increased alkaline phosphatase, increased cough, increased GGT, insomnia, muscle cramps, nausea, palpitations, pneumonia, syncope, tongue pain, trismus, vasodilation (flushing), vomiting. 

Adverse reactions may include Stevens-Johnson syndrome pericardial effusion T-wave changes rebound hypertension (following gradual withdrawal in children) decreased initial hematocrit, hemoglobin and erythrocyte counts nausea vomiting temporary edema alkaline phosphatase/serum creatinine/BUN increase, hypertrichosis. 

Adverse reactions may include bone marrow depression with aplastic anemia agranulocytosis or thrombocytopenia (long-term therapy) peripheral neuritis purpura myopathy loss of hair reversible azoospermia dermatoses hypersensitivity vomiting diarrhea abdominal pain nausea elevated alkaline phosphatase and AST. 

Adverse reactions occurring in at least 3% of patients include diarrhea, headache, lab test abnormalities (hemoglobin, ALT, alkaline phosphatase, and lipase), nausea, upper respiratory infection, and vomiting. 

Adverse reactions occurring in at least 3% of patients included the following abnormal vision, alkaline phosphatase increased, ALT/AST increased, chills, fever, hallucinations, headache, hepatic enzymes increased, liver function test abnormal, nausea, peripheral edema, photophobia, rash, vomiting. 

Adverse reactions occurring in at least 3% of patients include rash (including maculopapular), nausea, diarrhea, headache, vomiting, fever, cough, insomnia, asthenia, pruritus, monilia (oral), abdominal pain, constipation, dizziness, anemia, neutropenia, elevated ALT and AST, elevated alkaline phosphatase, elevated amylase, hyponatremia, pain, sweating, anxiety, anorexia, sinusitis, dyspepsia, rhinitis, and taste perversion. 

Adverse effects include gastrointestinal symptoms like nausea, vomiting, epigastric pain, diarrhoea, hypersensitivity reactions like rash, urticaria, angioedema, exceptionally bronchospasm, anaphylactic shock dizzy sensations (caution in driving or use of machinery) moderate increase in ASAT, ALAT and/or alkaline phosphatases cholestatic or more rarely acute liver injury. 

The chief toxic effect of azathioprine and mercaptopurine is bone marrow suppression, usually manifested as leukopenia, although anemia and thrombocytopenia may occur. Skin rashes, fever, nausea and vomiting, and sometimes diarrhea occur, with the gastrointestinal symptoms seen mainly at higher dosages. Flepatic dysfunction, manifested by very high serum alkaline phosphatase levels and mild jaundice, occurs occasionally, particularly in patients with preexisting hepatic dysfunction. 

Adverse Reactions Nausea Facial swelling Pruritus Vomiting Anaphalaxis Rash Fever Increased ALT Increased AST Decreased hematocrit Decreased hemoglobin Increased serum alkaline phosphatase Infused vein complications... 

Gastrointestinal Hepatitis, fulminant hepatic failure, nausea, vomiting, diarrhea, abdominal pain, increase in aminotransferases, increase in alkaline phosphatase... 

Vomiting, abdominal pain, and bloody diarrhea are the most common signs seen after ingestion (Kopferschmitt et al, 1983 Malizia et al, 1977 Pillay et al, 2005). Tox-albumins cause severe gastrointestinal lesions of the oropharynx, esophagus, and stomach. The lesions are clinically similar to alkaline bums. Fluid losses can lead to dehydration, electrolyte disturbances, hypotension, and tachycardia (Ingle et al, 1966). 

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