Abstract:
:Metabolic alkalosis secondary to chloride depletion, especially following gastrointestinal surgery and associated with acute renal failure, is a frequent clinical occurrence. Management of the resultant acid-base disturbance mandates chloride replacement. The presence of oliguria limits the choice of accompanying cation. The use of intravenous hydrochloric acid to correct and maintain proper chloride balance, secondary to external gastric fluid losses, is recommended as a straightforward approach. Two brief case synopses are presented. Both patients, florid examples of profound chloride depletion, required large amounts of intravenous hydrochloric acid. The options regarding the choice of chloride solution, hazards involved, and a simplified schema of replacement therapy are presented. Combined gastrointestinal and renal dysfunction create unusual biochemical and clinical alterations and may result in a complex management problem.
journal_name
Surgeryjournal_title
Surgeryauthors
Shavelle HS,Parke Rsubject
Has Abstractpub_date
1975-10-01 00:00:00pages
439-45issue
4eissn
0039-6060issn
1532-7361pii
0039-6060(75)90236-6journal_volume
78pub_type
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