DANIEL J. POTTER, M.D.
Severe symptoms of central nervous system dysfunction produced by hyperosmolality of extracellular fluid have been described recently; the common feature in these cases has been hypernatremia with or without hyperglycemia (1-6). This paper reports a death attributable to hyperglycemia produced by hemodialysis with hypertonic glucose. The serum concentration of sodium was normal, and there was no ketosis or acidosis.
Patient C. I., a 39-year-old man with a 14-year history of albuminuria, hypertension and, finally, uremia, was admitted to Good Samaritan Hospital on August 24, 1964. His creatinine clearance was 2.5 ml/min. His blood urea nitrogen (BUN) rose from
POTTER DJ. Death as a Result of Hyperglycemia Without Ketosis—A Complication of Hemodialysis. Ann Intern Med. 1966;64:399–401. doi: 10.7326/0003-4819-64-2-399
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Published: Ann Intern Med. 1966;64(2):399-401.
Nephrology, Renal Replacement Therapy.
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