منابع مشابه
Metabolic Reactions to Acidosis Produced by Ammonium Chloride.
Acidosis is so frequently put forward as the underlying pathological condition in such a variety of disorders that it is important to appreciate what actually are the metabolic manifestations of the acidotic state. Clinically one seldom if ever has an opportunity of studying acidosis uncomplicated by some such other factor as inanition or toxaemia. It is therefore advisable in an investigation ...
متن کاملEffect of chloride dialysate concentration on metabolic acidosis in maintenance hemodialysis patients.
Hyperchloremia is one of the multiple etiologies of metabolic acidosis in hemodialysis (HD) patients. The aim of the present study was to determine the influence of chloride dialysate on metabolic acidosis control in this population. We enrolled 30 patients in maintenance HD program with a standard base excess (SBE) ≤2 mEq/L and urine output of less than 100 mL/24 h. The patients underwent dial...
متن کاملPotential Inaccuracies in Chloride Measurements in Patients with Severe Metabolic Acidosis
Background. To address the cause(s) of the significant differences in chloride (Cl(-)) concentrations between point-of-care blood gas analyzers and central laboratory analyzers. Methods. Cl(-) concentrations measured simultaneously by a blood gas analyzer (ABL800 FLEX) and a central laboratory analyzer (Hitachi7600) were collected in patients with severe acidemia (pH < 7.20) (n = 32) and were e...
متن کاملExtracorporeal Selective Chloride Removal By Electrodialysis: An Innovative Treatment For Respiratory and Metabolic Acidosis
Introduction Acidosis is a frequent disorder among critically ill patients. When patient compensatory responses fail to restore a normal pH, administration of sodium bicarbonate (NaHCO3) or renal replacement therapy may be required. Intravenous NaHCO3 increases plasma Strong Ion Difference ([SID] = [Na] + [K] [Cl]) and HCO3 concentration by raising Na concentration. Although effective, this tre...
متن کاملImpact of chloride balance in acidosis control: the Stewart approach in hemodialysis critically ill patients.
BACKGROUND Metabolic acidosis is highly prevalent in critically ill patients with acute renal failure. Little is known about the mechanisms by which renal replacement therapy intervenes in such cases. The objective of this study is to analyze the role of hemodialysis in acidosis correction in intensive care unit patients, with an emphasis on chloride levels in plasma and dialysate. METHODS We...
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ژورنال
عنوان ژورنال: Circulation
سال: 1951
ISSN: 0009-7322,1524-4539
DOI: 10.1161/01.cir.3.6.837