Physiologic acid-base and electrolyte changes in acute and chronic renal failure patients

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Patients with acute and chronic renal failure are vulnerable to a wide variety of acid-base and electrolyte disturbances. The variety is related not only to predictable disturbances that arise as a consequence of impaired urinary excretion, but also to associated factors, such as intercurrent disease processes, chronic medications, and renal replacement therapy. This article emphasizes the pathogenesis, diagnosis, and treatment of common problems, including metabolic acidosis, hyponatremia, hypernatremia, hyperkalemia, hyperphosphatemia, and hypocalcemia.

Original languageEnglish (US)
Pages (from-to)809-833
Number of pages25
JournalAnesthesiology Clinics of North America
Issue number4
StatePublished - Jan 1 2000


ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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