title: Severe metabolic alkalosis in a hemodialysis patient.
abstract: We present a patient with end-stage kidney disease receiving hemodialysis therapy who developed severe metabolic alkalosis secondary to vomiting. This case illustrates the important differences in pathogenesis, diagnosis, and management of this common acid-base disorder in patients without kidney function. The diagnostic approach and management strategy for metabolic alkalosis are discussed, highlighting the special issues to be considered in dialysis patients.
authors.affiliation: University of Vermont College of Medicine, Burlington, VT, USA.
authors.forename: Lu
authors.initials: L
authors.lastname: Huber
authors.forename: F John
authors.initials: FJ
authors.lastname: Gennari
mesh_terms: D000368:Aged; D000471:Alkalosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D001639:Bicarbonates / Q000097:blood*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D006435:Renal Dialysis; D014839:Vomiting / Q000150:complications*
chemical_list: D001639:Bicarbonates