Treatment of Alkalosis depends on finding the specific cause. Once the cause is found out and the condition is detected to be Metabolic Alkalosis, the aim of treatment is to correct the acid-base imbalance in the bloodstream. Medications and salt-water solution needs to be administered to patients via an intravenous line. Medicative substances involve drugs to restore normalcy of heart rate and blood pressure along with Potassium Chloride (KCL). Potassium Chloride helps rectify problems like Hypokalemia that results from low Potassium level in the bloodstream. Medicines that provide relief from vomiting and nausea may also be administered. In some cases, use of Ammonium Chloride or Hydrochloric Acid may become necessary for treatment.
Other therapies: Intravenous dilute hydrochloric acid is occasionally used but carries the risk of hemolysis. Potassium chloride may also be used unless there is kidney failure. In severe cases which are unresponsive to other measures ammonium chloride may be given (1 to 2 g orally every 4 to 6 hours up to 4 g every 2 hours. It may also given by intravenous infusion (100 to 200 mEq dissolved in 500 to 1000 ml of isotonic saline) in addition to potassium replacement. In severe unresponsive metabolic alkalosis it may be necessary to administer hydrochloric acid or institute peritoneal dialysis.