AI Article Synopsis
- - Bicarbonate dialysis is essential for treating metabolic acidosis in chronic kidney failure, but choosing the wrong dialysate can lead to dangerous consequences.
- - A patient experienced life-threatening severe hypernatremia (sodium level at 207 mEq/L) and extreme metabolic acidosis (pH 6.65) due to using an incorrect bicarbonate concentrate during hemodialysis.
- - Thankfully, the patient fully recovered without any lasting neurological issues, marking this as the first documented adult case of such severe complications from dialysis fluid preparation errors.
Article Abstract
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.
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| http://dx.doi.org/10.4103/1319-2442.148754 | DOI Listing |
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