Potassium metabolism in patients with chronic kidney disease. Part II: Patients on dialysis (stage 5)

被引：38

作者：

Musso C.G. ^{[1
]}

机构：

[1] Hospital Italiano de Buenos Aires, Buenos Aires

来源：

International Urology and Nephrology | 2004年 / 36卷 / 3期

关键词：

Public Health; Glucose; Sodium; Potassium; Chronic Kidney Disease;

D O I：

10.1007/s11255-004-6194-y

中图分类号：

学科分类号：

摘要：

Potassium is removed mainly by diffusion during dialysis. In hemodialysis, potassium removal averages 70-150mmol per session, and the presence of glucose-free dialysate, sodium profiling, and hyperkalemia, may increase its removal. The most frequent potassium derangement in hemodialysis patients is hyperkalemia. Hemofiltration removes approximately 60 mmol of potassium per treatment. In peritoneal dialysis patients, despite lower potassium removal (about 30-40mmol/day), hypokalemia is the most frequent electrolyte alteration, probably due to movement of potassium into the cells mediated by insulin, secondary to glucose absorption from the dialysis solution. © 2004 Kluwer Academic Publishers.

引用

页码：469 / 472

页数：3

共 24 条

[1]

Feriani M., Catizone L., Fracasso A., Peritoneal dialysis solutions and systems, Textbook of Peritoneal Dialysis, pp. 268-269, (2000)

[2]

Ross E., Nissenson A., Acid-base and electrolyte disturbances, (1994)

[3]

Port F., Young E., Fluids and electrolytes disorders in dialysis, Fluids and Electrolytes, pp. 542-544, (1996)

[4]

Ahmed J., Weisberg L., Hyperkalemia in dialysis patients, Sem. Dialysis, 14, pp. 353-354, (2001)

[5]

Port F., Young E., Fluids and electrolytes disorders in dialysis, Fluids and Electrolytes, (1996)

[6]

Grassman A., Uhlenbusch-Koerwer I., Bonnie-Schorn E., Electrolytes, Composition and Management of Hemodyalisis Fluids, pp. 130-132, (2000)

[7]

Palmer B.F., Potassium: Key physiologic principles

[8]

hypokalemic and hyperkalemic disorders, HDCN, 1, pp. 9-11, (2004)

[9]

Imbriano L., Durham J., Maesaka J., Treating interdialytic hyperkalemia with fludrocortisone, Sem. Dialysis, 16, pp. 5-7, (2003)

[10]

Palmer B.F., Potassium: Key physiologic principles

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