Lower bicarbonate containing dialysate was unavailable. ![]() Haemodialysis with dialysate containing 25-28 meq/dl of bicarbonate was tried twice. Oral acetazolamide 250 mg per day was started and the frequency of the proton pump blocker was increased to twice a day. Inspite of improvement in presenting complains of fever, vomiting and diarrhoea, his renal function deteriorated progressively over the next two days (serum urea 90 mg/dl, creatinine 5.2 meq/dl). coli growth in urine) was treated with antibiotics according to sensivity reports. Milk based enteral nutrition (up to 2 litres per day) along with supplementation of magnesium, phosphate, vitamins and trace elements were started. ![]() Under careful monitoring, replacement of normal free fluid, potassium and sodium chloride was started.
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