title: Baking soda induced severe metabolic alkalosis in a haemodialysis patient.
abstract: Metabolic alkalosis is a rare occurence in hemodialysis population compared to metabolic acidosis unless some precipitating factors such as nasogastric suction, vomiting and alkali ingestion or infusion are present. When metabolic alkalosis develops, it may cause serious clinical consequences among them are sleep apnea, resistent hypertension, dysrhythmia and seizures. Here, we present a 54-year-old female hemodialysis patient who developed a severe metabolic alkalosis due to baking soda ingestion to relieve dyspepsia. She had sleep apnea, volume overload and uncontrolled hypertension due to metabolic alkalosis. Metabolic alkalosis was corrected and the patient's clinical condition was relieved with negative-bicarbonate hemodialysis.
authors.affiliation: Department of Nephrology, Meram School of Medicine , Selcuk University , Turkey.
authors.forename: Yalcin
authors.initials: Y
authors.lastname: Solak
authors.affiliation: Department of Nephrology, Meram School of Medicine , Selcuk University , Turkey.
authors.forename: Kultigin
authors.initials: K
authors.lastname: Turkmen
authors.affiliation: Department of Nephrology, Meram School of Medicine , Selcuk University , Turkey.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Atalay
authors.affiliation: Department of Nephrology, Meram School of Medicine , Selcuk University , Turkey.
authors.forename: Suleyman
authors.initials: S
authors.lastname: Turk
keywords: baking soda; haemodialysis; metabolic alkalosis