The Journal of Experimental Medicine
Keystone Symposia
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The Journal of Experimental Medicine, Vol 25, 693-719, Copyright, 1917, by The Rockefeller Institute for Medical Research New York


ARTICLE

A STUDY OF THE ACIDOSIS, BLOOD UREA, AND PLASMA CHLORIDES IN URANIUM NEPHRITIS IN THE DOG, AND OF THE PROTECTIVE ACTION OF SODIUM BICARBONATE

Kingo Goto M.D.1

1 From the William Pepper Laboratory of Clinical Medicine of the University of Pennsylvania, Philadelphia

1. The presence of an acidosis in dogs with experimental uranium nephritis is demonstrable by the Van Slyke-Stillman-Cullen method and that of Marriott. It is detected more readily by the former method.

2. This acidosis is associated with increase in the blood urea and plasma chlorides and with the appearance of albumin and casts in the urine.

3. The oral administration of sodium bicarbonate diminishes the acidosis, the increase in plasma chlorides, the amount of albumin and casts in the urine, and, to a lesser degree, the increase in the blood urea following the administration of uranium. It also diminishes the severity of the changes produced by uranium in the kidneys.

4. The oral administration of sodium bicarbonate to normal dogs raises the carbon dioxide content of the plasma as determined by the. Van Slyke-Stillman-Cullen method.

Submitted on November 29, 1916


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