Which agent is most frequently used to correct chronic metabolic acidosis in patients with chronic kidney disease (CKD)?

Updated: Oct 10, 2018
  • Author: Christie P Thomas, MBBS, FRCP, FASN, FAHA; Chief Editor: Vecihi Batuman, MD, FASN  more...
  • Print
Answer

NaHCO3 is the most frequently used agent. It is administered in an amount necessary to keep the serum HCO3- level greater than 20 mEq/L. The average requirement is approximately 1-2 mEq/kg/d. Sodium citrate should be avoided if the patient is taking aluminum as a phosphate binder, because citrate increases aluminum absorption and, hence, the risk for aluminum toxicity.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!