Back to Search
Start Over
Continuous venovenous hemofiltration using customized replacement fluid for acute kidney injury with severe hypernatremia
- Source :
- Clinical Kidney Journal
- Publication Year :
- 2016
- Publisher :
- Oxford University Press (OUP), 2016.
-
Abstract
- The initiation of continuous renal replacement therapy (CRRT) in acute kidney injury (AKI) with severe hypernatremia is challenging since sodium concentrations in commercial replacement fluid (RF) and dialysate solutions are usually fixed at 140 mEq/L. We present a case of AKI with severe hypernatremia successfully treated with CRRT using commercial RF solutions customized to prevent rapid correction of hypernatremia. None of the few case reports published on hypernatremia and AKI requiring CRRT have included formulas to help modulate the sodium content in the solutions. We present an equation to facilitate adjustment of the sodium concentration in this setting.
- Subjects :
- medicine.medical_specialty
Salt content
medicine.medical_treatment
Sodium
continuous renal replacement therapy
030232 urology & nephrology
chemistry.chemical_element
030204 cardiovascular system & hematology
urologic and male genital diseases
acute renal failure
Electrolytes
03 medical and health sciences
Dialysis solutions
0302 clinical medicine
Medicine
Renal replacement therapy
Intensive care medicine
Dialysis
Transplantation
hypernatremia
urogenital system
business.industry
Acute kidney injury
medicine.disease
Continuous venovenous hemofiltration
acute kidney injury
chemistry
Nephrology
dialysis
Hypernatremia
business
Subjects
Details
- ISSN :
- 20488513 and 20488505
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Clinical Kidney Journal
- Accession number :
- edsair.doi.dedup.....b44d7b5b3c447f0cae6c039d0e0c553e