Recalcitrant hypoglycemia resolved with 2.5% dextrose containing replacement fluid during hemodiafiltration.
Ren Fail
; 35(7): 1035-7, 2013 Aug.
Article
em En
| MEDLINE
| ID: mdl-23829694
ABSTRACT
A 52-year-old African American male was admitted with acute kidney injury (AKI) four days after renal cryotherapy. He was started on continuous veno-venous hemodiafiltration (CVVHDF) immediately but his subsequent course was complicated by recurrent hypoglycemia, poorly responding to conventional therapy. To address the recalcitrant hypoglycemia, we changed the replacement fluid to 5% dextrose in water with 150 mEq/L of sodium bicarbonate, Y-connected with 0.9% sodium chloride at a global rate of 2000 mL/hr, with resolution of refractory hypoglycemia. A modified CVVHDF employing hyperglycemic solution can be a valuable addition in treatment of AKI complicated by severe refractory hypoglycemia.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Soluções para Hemodiálise
/
Hemodiafiltração
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Criocirurgia
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Injúria Renal Aguda
/
Glucose
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Hipoglicemia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Ren Fail
Ano de publicação:
2013
Tipo de documento:
Article