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Severe Metabolic Alkalosis in a Hemodialysis Patient

Authors
Journal
American Journal of Kidney Diseases
0272-6386
Publisher
Elsevier
Publication Date
Volume
58
Issue
1
Identifiers
DOI: 10.1053/j.ajkd.2011.03.016
Keywords
  • Metabolic Alkalosis
  • Acid-Base Disorders
  • Hemodialysis
  • End-Stage Kidney Disease
  • Hypercapnia
  • Small-Bowel Obstruction
Disciplines
  • Medicine

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.

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