Metabolic alkalosis in a hemodialysis patient after ingestion of a large amount of an antacid medication.
A maintenance hemodialysis patient developed metabolic alkalosis in the absence of vomiting or nasogastric suction. The cause of the metabolic alkalosis was ingestion of an exogenous alkali in the form of Bromoseltzer. The metabolic alkalosis improved with hemodialysis using a low-bicarbonate bath.
Sahani
M M
MM
Department of Medicine, Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois, USA.
Brennan
J F
JF
Nwakanma
C
C
Chow
M T
MT
Ing
T S
TS
Leehey
D J
DJ
D000471:Alkalosis / Q000139:chemically induced* / Q000378:metabolism / Q000628:therapy; D000863:Antacids / Q000009:adverse effects*; D001639:Bicarbonates / Q000378:metabolism; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D017693:Sodium Bicarbonate / Q000009:adverse effects
D000863:Antacids; D001639:Bicarbonates; D017693:Sodium Bicarbonate