23rd December 2021

A 76-year-old patient has been taking oral acetazolamide for his glaucoma for the past few years

A 76-year-old patient has been taking oral acetazolamide for his glaucoma for the past few years. On incidental laboratory investigations it was found that he had a hyperchloremic metabolic acidosis and hypokalemia. A bicarbonate infusion was subsequently administered and the fractional excretion of bicarbonate was above 15%. A diagnosis of type 2 renal tubular acidosis was made. What treatment should be initiated?

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