Home About us Current issue Ahead of Print Back issues Submission Instructions Advertise Contact Login   

Search Article 
  
Advanced search 
 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 2217 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 

CASE REPORT Table of Contents   
Year : 2015  |  Volume : 26  |  Issue : 1  |  Page : 107-110
Successful recovery from iatrogenic severe hypernatremia and severe metabolic acidosis resulting from accidental use of inappropriate bicarbonate concentrate for hemodialysis treatment


Department of Anaesthesia and Critical Care, Institute of Kidney Diseases and Research Center and Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Guruprasad P Bhosale
Department of Anaesthesia and Critical Care, Institute of Kidney Diseases and Research Center and Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat
India
Login to access the Email id


DOI: 10.4103/1319-2442.148754

PMID: 25579726

Rights and Permissions

Bicarbonate dialysis is the treatment modality of choice for correction of metabolic acidosis in chronic renal failure. However, improper selection of dialysate concentrate can result in life-threatening human errors. We report a case of iatrogenic severe hypernatremia (sodium 207 mEq/L) and severe metabolic acidosis (pH 6.65) that resulted due to accidental use of inappropriate bicarbonate concentrate for hemodialysis treatment. There was successful recovery in this patient with no neurological sequelae. To the best of our knowledge, this is the first case report in adults of severe hypernatremia along with severe metabolic acidosis due to error in the preparation of dialysis fluid.


[FULL TEXT] [PDF]*
Print this article  Email this article
    

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3785    
    Printed30    
    Emailed0    
    PDF Downloaded459    
    Comments [Add]    

Recommend this journal