Brief Answer:
liver cirrhosis

Detailed Answer:
Hello!

Welcome to Healthcare Magic.

1) Most likely to cause Hypokalemia is Liver cirrhosis through some mechanisms
Chronic renal failure causes high blood potassium level (Hyperkalemia) because
kidneys do not work properly and cannot remove potassium from blood ,in this way it builds up in body causing hyperkalemia.

2)There are some clinical parameters that can evaluate if the fluid therapy is adequate including :
-Mean arterial pressure, Central venous pressure.
-Urine output
-Capillary refill
-Skin perfusion
-Arterial blood gases


Hope it helps.
Let me know if you have any other question or doubt to clarify.I will be happy to assist you further.

Kind regards,
Dr.Rovena Murati

---

Brief Answer:
detailed below.

Detailed Answer:
Hello again!

I really apologize for the delay in answering you but difference in time in our countries is the major factor.
I am sorry that I might have misunderstood your second question.
To answer that I can tell that central venous pressure (the pressure in Jugular vein in the neck) is more valuable indicator to evaluate a fluid therapy.
In distended jugular veins may indicate that the patient has fluid volume excess,and flat jugular vein indicates a low pressure in central venous system and hypovolemia.
Physical findings or volume fluid excess are evaluated together (examination jugular veins and peripheral pulses).

Regarding Respiratory acidosis ,there are many possible causes for that.
This condition occurs when the production of CO2 is increased and it accumulates in blood causing low pH of blood.
The most common causes are :
-Obstructive or restrictive lung disease
-Airway obstruction
-The use of anesthetic drugs,
-Neuromuscular disease
-Chest trauma (contusion ,haemothorax ), Pneumothorax

Chronic renal failure and liver cirrhosis can cause metabolic acidosis but a marked ascitis due to liver cirrhosis can also cause respiratory acidosis because in interferes with ventilation.

Take care,
Dr.Rovena

---