Severe metabolic acidosis may occur during hemodialysis when the incor
rect acid dialysis concentrate from a two-part bicarbonate dialysis sy
stem is used in an acetate dialysis machine. We deliberately applied t
his technique to correct severe metabolic alkalosis in a patient with
chronic renal failure. Rapid correction of the metabolic alkalosis was
achieved and the procedure was well tolerated. (C) 1995 by the Nation
al Kidney Foundation, Inc.