Document Detail

Accidental metabolic acidosis during hemodialysis.
MedLine Citation:
PMID:  8185487     Owner:  NLM     Status:  MEDLINE    
Three incidents of metabolic acidosis during hemodialysis in 3 different patients are presented. Two patients became severely ill but recovered completely after treatment. In the third patient, the event was recognized before the acidosis became symptomatic. In all cases the acidosis was caused by an unbalanced supply of acidic dialysis concentrate. Two events were caused by mistaking acidic dialysis concentrate for acetate. In the third patient, the supply line from the bicarbonate concentrate jug was broken. The conductivity cell alarm was not activated during any of the incidents and in only 1 case during reconstruction of the accidents. The efficacy and safety of the conductivity cell alarm system regarding prevention of acid/base disturbances during hemodialysis are discussed.
A Hartmann; A Reisaeter; H Holdaas; B Rolfsen; P Fauchald
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  18     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-06-14     Completed Date:  1994-06-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  214-7     Citation Subset:  IM    
Medical Department B, National Hospital, Oslo, Norway.
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MeSH Terms
Acidosis / etiology*
Hemodialysis Solutions
Hydrogen-Ion Concentration
Renal Dialysis / adverse effects*
Reg. No./Substance:
0/Hemodialysis Solutions

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