Recurrent paroxysms of metabolic acidosis in a haemodialysis patient. |
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| Authors: | Johann B Lüth Friedrich C Luft |
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| Institution: | Gemeinschaftspraxis und Dialysezentrum Hannover, Germany. |
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| Abstract: | |
Case
| A 56-year-old haemodialysis patient was observed to have a substantialmetabolic acidosis prior to a routine haemodialysis treatment.She had developed chronic renal failure and become dialysis-dependent10 years earlier. A renal transplant had failed; she had peripheralvascular disease, and had decreased cardiac function becauseof a suspected cardiomyopathy. Otherwise, she was stable. The patient voiced no complaints. However, her pH was 7.146,PaO2 124 mmHg, PaCO2 27 mmHg, and HCO3 9 mmol/l. The serum Na+was normal
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