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- W2040723323 abstract "A 24-year-old woman who had sustained serious injuries in a road traffic accident required renal dialysis daily and was fed intravenously with a solution containing 25% dextrose. Subsequently insulin had to be added to the parenteral fluid to maintain blood glucose concentrations at physiological values. On one occasion parenteral feeding was continued until dialysis was started; she became comatose and the plasma glucose concentration was found to be less than 1 mmol/l (18 mg/100 ml). She responded rapidly to a 50 ml intravenous bolus of 50% dextrose. When parenteral feeding and dialysis are used simultaneously glucose passes across the semi-permeable membrane from the blood to the dialysate so that hypoglycaemia may occur. Insulin added to the parenteral fluid further decreases blood glucose concentrations. Stopping parenteral feeding 30-45 minutes before dialysis is started eliminates this danger of hypoglycaemia." @default.
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- W2040723323 date "1982-07-03" @default.
- W2040723323 modified "2023-10-17" @default.
- W2040723323 title "Severe hypoglycaemia due to combined use of parenteral nutrition and renal dialysis." @default.
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- W2040723323 doi "https://doi.org/10.1136/bmj.285.6334.9" @default.
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