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ACID - BASE IMBALANCE CHARACTERISTICS IN PATIENTS ON MAINTENANCE HEMODIALYSIS
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Abstract
Objective: To describe the clinical characteristics and prevalence of metabolic acidosis among chronic kidney disease (CKD) patients undergoing maintenance hemodialysis at the 103 Military Hospital. Methods: A prospective, descriptive, cross-sectional, and analytical study was conducted on 77 patients who had been receiving maintenance hemodialysis for at least three months at the Department of Nephrology and Hemodialysis, 103 Military Hospital. Results: The mean age of the patients was 58.5 ± 14.3 years; Chronic glomerulonephritis was the leading cause of kidney failure, accounting for 49.4% of cases; The mean arterial blood pH was 7.376 ± 0.051; The prevalence of metabolic acidosis was 42.86%; The proportions of patients with decreased HCO₃⁻ and decreased base excess (BE) were 61.04% and 76.62%, respectively; The proportion of patients with elevated anion gap was higher in the metabolic acidosis group. Conclusion: A high rate of metabolic acidosis before hemodialysis sessions in patients undergoing maintenance hemodialysis.
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Keywords
maintenance hemodialysis, metabolic acidosis, arterial blood gas
References
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