Baking soda induced severe metabolic alkalosis in a haemodialysis patient

Baking soda induced severe metabolic alkalosis in a haemodialysis patient

Metabolic alkalosis is a rare occurence in hemodialysis population compared to metabolic acidosis unless some precipitating factors such as nasogastric suction, vomiting and alkali ingestion or infusion are present. When metabolic alkalosis develops, it may cause serious clinical consequences among them are sleep apnea, resistent hypertension, dysrhythmia and seizures. Here, we present a 54-yea...

Anesthetic Management of a Patient with Sustained Severe Metabolic Alkalosis and Electrolyte Abnormalities Caused by Ingestion of Baking Soda

The use of alternative medicine is prevalent worldwide. However, its effect on intraoperative anesthetic care is underreported. We report the anesthetic management of a patient who underwent an extensive head and neck cancer surgery and presented with a severe intraoperative metabolic alkalosis from the long term ingestion of baking soda and other herbal remedies.

Mannitol-induced Metabolic Alkalosis

Mannitol is an osmotic diuretic agent useful in a variety of clinical conditions. This study is based on acid-base and electrolyte changes seen after the intravenous infusion of hypertonic mannitol for the prevention of cerebral edema. The study subjects were divided into 3 groups: for group A, an amount of 300-900 mL 15% mannitol was intravenously infused over the period of 60 to 90 minutes; f...

A 77 year-old haemodialysis patient with unexpected alkalosis.

Haemodialysis patients do not commonly acquire metabolic alkalosis. Metabolic acidosis is more common. Profound vomiting and massive gastric drainage are possible causes [1]. Dialysis patients do not have kidneys that can excrete bicarbonate. Exogenous ingestion of bicarbonate in the form of bromoseltzer and other pica forms have been described [2]. A dialysis patient gave himself 1500mmol of s...

Severe metabolic alkalosis due to choledochoduodenal fistula.