2012 Volume 3 Issue 2 Pages 158-160
In Japan, the supply of replacement substitution from the A company had temporally stopped by the tsunami disaster due to the Great East Japan Earthquake on March 11, 2011. So, we urgently used the bicarbonate Ringer solution as a replacement filtrate solution in the 2 ICU patients who had been on continuous hemodiafiltration (CHDF). The main differences of fluid composition between bicarbonate Ringer solution and the conventional substitution were as follows; a higher potassium (4mEq/L) and no glucose in the bicarbonate Ringer solution. We conducted CHDF therapy for the both patients during 21 and 26 days respectively. During the treatment, serum potassium levels were stable with lower potassium supplementation. In 1 case, serum glucose level was transiently decreased to below 100mg/dL, while it easily recovered with glucose administration. Thus, when urgently use the bicarbonate Ringer solution as a replacement substitution, it is relatively safe to control serum potassium and glucose during CHDF treatment.
