Metabolic alkalosis in a hemodialysis patient--successful treatment with a proton pump inhibitor.

Autor: Kirsch BM; Division of Nephrology and Dialysis, Department of Medicine Ill, Medical University of Vienna, Austria. bernhard.kirsch@meduniwien.ac.at, Sunder-Plassmann G, Schwarz C
Jazyk: angličtina
Zdroj: Clinical nephrology [Clin Nephrol] 2006 Nov; Vol. 66 (5), pp. 391-4.
DOI: 10.5414/cnp66391
Abstrakt: Hemodialysis patients develop metabolic acidosis due to their impaired excretion of daily produced protons (H+). The following report will show a rare case of severe metabolic alkalosis (predialysis pH 7.52, base excess (BE) +17) in a hemodialysis woman caused by self-provoked upper gastrointestinal H+ losses based on an eating disorder. Treatment with a proton pump inhibitor resulted in the normalization of acid/base homeostasis (predialysis pH 7.40, BE +1.6).
Databáze: MEDLINE