Extreme Metabolic Alkalosis Caused by Gastrostomy Tube Malposition Treated Using Conventional Hemodialysis
نویسندگان
چکیده
http://dx.doi.org/10.4068/cmj.2016.52.3.217 C Chonnam Medical Journal, 2016 Chonnam Med J 2016;52:217-218 Corresponding Author: Soo Wan Kim Department of Internal Medicine, Chonnam National University Medical School, 42 Jaebong-ro, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-220-6271, Fax: +82-62-225-8578, E-mail: [email protected] Article History: Received July 12, 2016 Revised July 21, 2016 Accepted July 25, 2016 TABLE 1. Prehemodialysis and post hemodialysis changes of laborotory test
منابع مشابه
Extreme metabolic alkalosis with fludrocortisone therapy.
We present an unusual case of extreme metabolic alkalosis resulting from severe hypokalaemia caused by unmonitored fludrocortisone therapy. Biochemical aspects of the disorder are discussed, as is the successful treatment with diuretics and potassium replacement. Some dangers of this therapy and necessary precautions are emphasized.
متن کاملBaking 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...
متن کاملRigid inflatable gastrostomy tube malposition
Rigid inflatable gastrostomy (RIG) tubes are widely used in contemporary clinical practice for a variety of indications. Insertion of RIG tubes is associated with a high technical success rate and low incidence of mortality. In this case report, a procedural pitfall associated with intraperitoneal-extragastric malposition is described. Rigorous assessment of abdominal radiographs, as well as aw...
متن کاملThe effect of hemodialysis on electrolytes and acid-base parameters.
BACKGROUND Hemodialysis patients are treated with bicarbonate dialysate to correct the metabolic acidosis, which results from the metabolism of dietary and endogenous protein. The concentration of plasma tCO(2) is used to gauge the success of therapy. Reported low values in pre-dialysis blood suggest incomplete correction of acidosis in a substantial percent of the dialysis population. However,...
متن کاملSevere Uncompensated Metabolic Alkalosis due to Plasma Exchange in a Patient with Pulmonary-Renal Syndrome: A Clinician's Challenge
Metabolic alkalosis secondary to citrate toxicity from plasma exchange is very uncommon in patients with normal renal function. In patients with advanced renal disease this can be a fatal event. We describe a case of middle-aged woman with Goodpasture's syndrome treated with plasma exchange who developed severe metabolic alkalosis. High citrate load in plasma exchange fluid is the underlying et...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 52 شماره
صفحات -
تاریخ انتشار 2016