Open AccessEfecto agudo del baño con citrato sobre la alcalemia postdiálisis
Author(s) -
Patricia de Sequera Ortiz,
Marta Albalate Ramón,
Rafael Pérez-García,
Elena Prats,
Patricia Arribas Cobo,
Roberto Alcázar Arroyo,
Maira Ortega Díaz,
Marta Carretero
Publication year - 2015
Publication title -
nefrología
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.319
H-Index - 35
eISSN - 1989-2284
pISSN - 0211-6995
DOI - 10.1016/j.nefro.2014.10.001
Subject(s) - bicarbonate , chemistry , calcium , dialysis , metabolic acidosis , parathyroid hormone , acidosis , acid–base homeostasis , citric acid , phosphorus , isotonic solutions , base excess , medicine , endocrinology , biochemistry , tonicity , organic chemistry
The correction of metabolic acidosis caused by renal failure is achieved by adding bicarbonate during dialysis. In order to avoid the precipitation of calcium carbonate and magnesium carbonate that takes place in the dialysis fluid (DF) when adding bicarbonate, it is necessary to add an acid, usually acetate, which is not free of side effects. Thus, citrate appears as an advantageous alternative to acetate, despite the fact that its acute effects are not accurately known.
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