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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.
AuthorsLu Huber, F John Gennari
JournalAmerican journal of kidney diseases : the official journal of the National Kidney Foundation (Am J Kidney Dis) Vol. 58 Issue 1 Pg. 144-9 (Jul 2011) ISSN: 1523-6838 [Electronic] United States
PMID21621890 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Bicarbonates
Topics
  • Aged
  • Alkalosis (diagnosis, etiology, therapy)
  • Bicarbonates (blood)
  • Female
  • Humans
  • Kidney Failure, Chronic (therapy)
  • Renal Dialysis
  • Vomiting (complications)

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