کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6157468 1598266 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Approach to the Hemodialysis Patient With an Abnormal Serum Bicarbonate Concentration
ترجمه فارسی عنوان
رویکرد به بیمار همودیالیز با غلظت بی کربنات سرم غیرطبیعی
کلمات کلیدی
همودیالیز، غلظت بی کربنات سرم، مرگ و میر آلکالوز، اسیدوز، سوء تغذیه،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
چکیده انگلیسی
We present a patient receiving hemodialysis with a persistently high serum bicarbonate concentration to illustrate the evaluation and management issues for patients with both high (>25 mEq/L) and low (<20 mEq/L) pretreatment values. Patients with high serum bicarbonate concentrations typically are malnourished and have low rates of endogenous acid production. Evaluation should begin with assessment of whether an acute and potentially reversible cause of metabolic alkalosis is present. If not, management should be directed at treating malnutrition. By contrast, patients with low predialysis serum bicarbonate concentrations, in the absence of an acute and reversible cause, may benefit from increasing the level by an adjustment in dialysate bicarbonate concentration. However, the level at which one should intervene and to what extent serum bicarbonate concentration should be increased are unresolved issues. Whether such an intervention will reduce mortality risk has not been determined.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Kidney Diseases - Volume 64, Issue 1, July 2014, Pages 151-155
نویسندگان
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