Accidental systemic exposure to XXXX (Chlorox) during hemodialysis.

@entity1 @entity4388 @entity4144 @entity935 @entity26 @entity8830 @entity3044 @entity15451 @entity3897 @entity1167 @entity2142 @entity848
A case of accidental exposure of a @entity1 undergoing hemodialysis to a @entity8830 solution is reported. A 61-year-old @entity1 was completing a hemodialysis treatment when routine cleaning of the hemodialysis machine was started. Approximately two liters of undiluted @entity8830 cleaning solution (Chlorox) was added to the dialysis bath, soaking the membrane fibers. For less than two minutes the Chlorox-soaked membrane was in contact with the blood returning to the @entity1 . This accident led to massive @entity2142 , @entity4144 , @entity848 , and @entity1167 . @entity2142 may have been caused by the hypertonic solution, rapid exothermic protein degradation, alkaline degradation, or another mechanism. The sudden rise and fall in the concentrations of serum electrolytes and subsequent @entity4144 was the most probable cause for the @entity1167 . Cardiopulmonary resuscitation was started, the @entity1 was intubated, given @entity26 , @entity4388 , @entity3897 , @entity935 , and @entity3044 . @entity15451 5 g was administered by a nasogastric tube approximately 25 minutes after the @entity1167 as a neutralizing reducing agent. The @entity1 's condition stabilized, and she recovered after a week of hospitalization. Cleaning solutions used in the routine cleaning of hemodialysis machinery represent potentially toxic agents. Hemodialysis procedures should ensure that cleaning and sterilizing solutions cannot accidentally come into contact with a dialysis machine that is still connected to the @entity1 .
