RICHARD D. SWARTZ, M.D.; JOHN F. JACOBS JR.
To the editor: In an earlier issue, one of our group reported previous experience in treating severe metabolic alkalosis that complicates oliguric renal failure by use of hemodialysis with a specially prepared, high-chloride, low-acetate dialysis solution (1). This method corrected the metabolic abnormality and reversed its clinical sequelae, but the procedure was cumbersome, requiring large batches of dialysate and careful measurement of dialysate constituents. Further, the method was not adaptable for use with the "central delivery" or "proportioning" dialysate systems used in many hemodialysis units.
The following case demonstrates the efficacy of a modification of this treatment using the REDY®
SWARTZ RD, JACOBS JF. Modified Dialysis for Metabolic Alkalosis. Ann Intern Med. ;88:432–433. doi: 10.7326/0003-4819-88-3-432_3
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Published: Ann Intern Med. 1978;88(3):432-433.
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