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Dialysis-induced respiratory acidosis
1Department of Internal Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago.
Chest
|November 1, 1990
Summary
High glucose peritoneal dialysis can cause respiratory acidosis in patients with ventilatory limitations. Reducing dialysate glucose reversed this condition, highlighting the importance of considering CO2 production during dialysis in at-risk patients.
Area of Science:
- Nephrology
- Pulmonology
- Critical Care Medicine
Background:
- Patients with ventilatory limitations may experience carbon dioxide (CO2) retention.
- Acute respiratory acidosis can arise from the inability to increase alveolar ventilation.
- Peritoneal dialysis introduces carbohydrates, potentially increasing CO2 production.