Inability to alkalinize urine in a patient at risk for tumor lysis syndrome: a case report

Autor:	Robert Steelman, Patricia Shoun, Phyllis Winters Johannes, Kathleen Wachtel, Mary Frances D. Pate
Rok vydání:	2008
Předmět:	Adult Male Pleural effusion Urine Pericardial effusion Mediastinal Neoplasms Pericardial Effusion Medicine Humans Propofol business.industry Mediastinal mass Hematology Hydrogen-Ion Concentration medicine.disease Discontinuation Pleural Effusion Malignant Tumor lysis syndrome Sodium Bicarbonate Oncology Anesthesia Pediatrics Perinatology and Child Health Arterial blood business Tumor Lysis Syndrome Anesthetics Intravenous medicine.drug
Zdroj:	Pediatric hematology and oncology. 25(2)
ISSN:	1521-0669
Popis:	This report provides a description and discussion of a 19-year-old, 65-kg male, with a large mediastinal mass, right pleural effusion, and pericardial effusion, requiring urine alkalinization during a propofol infusion. The patient required NaHCO3 boluses, urine pH, electrolyte, arterial blood gas and lactate monitoring, and discontinuation of the propofol. The authors suggest that caution be used when prescribing a propofol infusion for patients who are at risk of tumor lysis syndrome and the need for urine alkalinization.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4d7928c3ea572684520a7b7f8769701f https://pubmed.ncbi.nlm.nih.gov/18363183 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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