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Are Patients With End Stage Renal Disease At Risk For Hyperkalemia
Hyperkalemia in an elevated potassium level in the blood. It can be mild to severe. The most common causes are kidney disease, Addison's disease, dehydration, and multiple drug therapies. It can occur in crush injuries and rhabdomyolysis (rapid breakdown of muscle) or hemolysis (breakdown of blood cells). Severe hyperkalemia can be fatal and cause the heart to stop beating or become very slow. It is usually treated by resin exchange agents (Kayexalate or others) or dialysis and fluids. Sometimes glucose, Insulin and sodium bicarbonate can be utilized as ...Read more
Dialysis diet: The answer to your question is too long for this space. Go to this link and learn about a diet for dialysis patients: http://www.davita.com/kidney-disease/diet-andnutrition/diet-basics/the-hemodialysis-diet/e/5314. It is best to ask the dietician at a dialysis center what diet should be followed, as diabetic patients' diets are different from those that are not diabetic. Good luck. ...Read more
Dialysis diet: The answer to your question is too long for the space allotted here. Go to this link for the answer you are seeking: http://www.davita.com/kidney-disease/diet-andnutrition/diet-basics/the-hemodialysis-diet/e/5314 If the patient is already on dialysis, have the patient ask the dietician at the patient's dialysis for a diet to follow. ...Read more
Cardiorenal: Think of a pump (or the heart) building pressure against a filter that is very slow and inefficient, the kidneys in our case. For a while, the pump, which is elastic, will adjust by stretching trying to accommodate the extra load, fluid unfiltered by the kidneys. Once that capacity is reached the heart goes in failure, too. The extra fluid is managed with diuretics and eventually dialysis. ...Read more
Eruthropoietin: It is secreted by the kidneys, simply. When kidneys fail, all functions are reduced. Industrial production of erythrop works as good as the natural one. ...Read more
Can you tell me for a patient who has hyperphosphatemia and hypercalcemia, and also has chronic renal failure, what to do?
See the dietician!: Diet can be problematic in dialysis patients/chronic renal failure patients. Many foods contain phosphorus; diaysis patients often take phosphate binders to help them excrete this. Kidney patients must watch calories, protein, and salt also. My best advice is to have a consult with the dietician at your local kidney center. They can help with recipies and ideas to keep you healthier. ...Read more
What are the treatment options for a patient who has hyperphosphatemia, hypercalcemia, and chronic renal failure?
What could be the treatment options for a patient who has hyperphosphatemia and hypercalcemia, and also has chronic renal failure.?
Phosphate: Hi. How bad is your creatinine/eGFR? You probably need a low phosphate diet, phosphate binders (e.g. sevelamer), and maybe dialysis. What is your PTH? Probably high. You might need a vitamin D analog (e.g., doxercalciferol or paricalcitol) or cinacalcet. Talk with your nephrologist! ...Read more
Lack of insulin: The lack of insulin, which is needed to transport k into the cells causes the k to remain in the intravascular space, is a primary cause of high levels of k in dka. Acidosis also has the effect of of allowing k to go from the cells to the intravascular space. The correction of DKA with Insulin allows k to go into the cells and corrects the acidosis present also lower plasma k levels, . ...Read more
Depends: Many factors contribute to serum potassium levels including residual kidney function, diuretic use, potassium intake, GI potassium loss (i.e. diarrhea), and acid/base status. It is possible to see high or low serum potassium levels in patients with renal failure but hyperkalemia (high potassium) is more commonly observed in patients with advanced renal dysfunction. ...Read more
No: Any medicine that inhibits the Renin-Angiotensin System (RAS) can reduce kidney handling of potassium. Losartan stops angiotensin effect in the kidney and may have less effect on potassium but remains a cause of hyperkalemia. Drugs that are "ACE inhibitors" or "ARB" agents can increase potassium. They can be used if a low potassium diet is followed and potassium levels are followed closely. ...Read moreSee 1 more doctor answer
With acute diffuse proliferative glomerulonephritis caused by systemic lupus erythematosus, why would a patient have uremia and hyperkalemia?
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