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Case Reports
Marked dilutional acidosis complicating management of right ventricular myocardial infarction.
- B L Jaber and N E Madias.
- Department of Medicine, Tufts University School of Medicine, New England Medical Center, Boston, MA 02111, USA.
- Am. J. Kidney Dis. 1997 Oct 1;30(4):561-7.
AbstractDilutional acidosis is a poorly recognized cause of metabolic acidosis. Indeed, the prevailing view has been that even massive expansion of the extracellular fluid volume with non-bicarbonate-containing solutions would not lead to clinically significant hypobicarbonatemia. We describe the development of marked dilutional acidosis as a complication of management of right ventricular myocardial infarction. The pathogenesis, clinical significance, prevention, and treatment of the entity are discussed.
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