Successful recovery from iatrogenic severe hypernatremia and severe metabolic acidosis resulting from accidental use of inappropriate bicarbonate concentrate for hemodialysis treatment.

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ID: 53315
2015
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Ranked #2 of 3 articles by views in saudi journal of kidney diseases and transplantation : an official publication of the saudi center for organ transplantation, saudi arabia

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Abstract
Bicarbonate dialysis is the treatment modality of choice for correction of metabolic acidosis in chronic renal failure. However, improper selection of dialysate concentrate can result in life-threatening human errors. We report a case of iatrogenic severe hypernatremia (sodium 207 mEq/L) and severe metabolic acidosis (pH 6.65) that resulted due to accidental use of inappropriate bicarbonate concentrate for hemodialysis treatment. There was successful recovery in this patient with no neurological sequelae. To the best of our knowledge, this is the first case report in adults of severe hypernatremia along with severe metabolic acidosis due to error in the preparation of dialysis fluid.
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bhosale2015successfulsaudi Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Bhosale, Guruprasad P;Shah, Veena R;
Journal saudi journal of kidney diseases and transplantation : an official publication of the saudi center for organ transplantation, saudi arabia
Year 2015
DOI
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Keywords
pharmacokinetics uplc-ms/ms rat plasma active ingredient ma-zi-ren-wan

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