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Shortness of Breath and Abdominal Pain Within Minutes of Starting Hemodialysis
Author(s) -
Rodby Roger A.,
Bellucci Allessandro
Publication year - 2004
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.0894-0959.2004.17352.x
Subject(s) - medicine , hemodialysis , abdominal pain , surgery , saline , blood pressure , anesthesia , anxiety , ethylene oxide , chemistry , organic chemistry , psychiatry , copolymer , polymer
A 45‐year‐old woman on hemodialysis without significant problems for 6 years developed acute onset of anxiety, shortness of breath, and abdominal pain within minutes of initiating her hemodialysis treatment. Her blood pressure was stable throughout the episode. The treatment was discontinued and she was admitted to the hospital. Routine blood chemistries were unremarkable except for mild eosinophilia (5%). An ethylene oxide reaction was suspected. She was dialyzed the following day after rinsing the dialyzer with 2 L of saline. A similar reaction occurred. The following day she was dialyzed on an ethylene oxide‐free dialyzer and the hemodialysis treatment was uneventful.