Journal
CLINICAL KIDNEY JOURNAL
Volume 9, Issue 4, Pages 540-542Publisher
OXFORD UNIV PRESS
DOI: 10.1093/ckj/sfw036
Keywords
acute kidney injury; acute renal failure; continuous renal replacement therapy; dialysis; hypernatremia
Categories
Funding
- Fonds de la Recherche du Quebec-Sante
Ask authors/readers for more resources
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.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available