Hemodialysis and hemofiltration

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Hemodialysis and peritoneal dialysis, when required because of renal failure, are effective in reversing metabolic alkalosis if bicarbonate concentration is decreased and chloride concentration is increased in the dialysate. Similarly, continuous hemofiltration allows treatment of metabolic alkalosis by adapting the composition of solutions used to compensate fluid losses through the membrane. Metabolic alkalosis can be treated by other methods, so that these techniques are not required to correct the alkalosis in the absence of renal failure.

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