N. DABIR VAZIRI, M.D.; CYRIL H. BARTON, M.D.; RUSSELL NESS, M.D.; KHOSROW MIRAHMADI, M.D.
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To the editor: We read with interest the recent article by Swartz and colleagues that described hemodialysis with a high-chloride, low-acetate dialysate as a successful treatment for metabolic alkalosis in the postoperative patient with renal failure (1).
We recently treated a 37-year-old man who had suffered a gunshot wound to the abdomen that required extensive abdominal surgery. The patient subsequently developed acute renal failure and a severe metabolic alkalosis that was secondary to nasogastric suctioning. Hemodialysis with a high-chloride, low-acetate dialysate was very effective in correcting the metabolic alkalosis.
Before dialysis the blood pH was 7.57 and plasma bicarbonate 42
VAZIRI ND, BARTON CH, NESS R, MIRAHMADI K. Special Uses of Cimetidine. Ann Intern Med. ;88:266–267. doi: 10.7326/0003-4819-88-2-266
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Published: Ann Intern Med. 1978;88(2):266-267.
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