Acid dialysate correction of metabolic alkalosis in renal failure.
Severe metabolic acidosis may occur during hemodialysis when the incorrect acid dialysis concentrate from a two-part bicarbonate dialysis system is used in an acetate dialysis machine. We deliberately applied this technique to correct severe metabolic alkalosis in a patient with chronic renal failure. Rapid correction of the metabolic alkalosis was achieved and the procedure was well tolerated.
Gerhardt
R E
RE
Department of Medicine, Pennsylvania Hospital, Philadelphia 19107.
Koethe
J D
JD
Glickman
J D
JD
Ntoso
K A
KA
Hugo
J P
JP
Wolf
C J
CJ
D000085:Acetates; D019342:Acetic Acid; D000471:Alkalosis / Q000628:therapy*; D015314:Dialysis Solutions / Q000737:chemistry*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis
D000085:Acetates; D015314:Dialysis Solutions; D019342:Acetic Acid