Document Detail


Acid-base and electrolyte abnormalities during renal support for acute kidney injury: recognition and management.
MedLine Citation:
PMID:  23095419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute kidney injury (AKI) is associated with electrolyte and acid-base disturbances such as hyperkalemia, metabolic acidosis, hypocalcemia and hyperphosphatemia. The initiation of dialysis in AKI can efficiently treat these complications. The choice of dialysis modality can be made based on their operational characteristics to tailor the therapy according to the clinical scenario. Each dialysis modality can also trigger significant electrolyte and acid-base disorders, such as hypokalemia, hypophosphatemia and metabolic alkalosis, which may direct changes in fluid delivery and composition. Continuous techniques may be particularly useful in these situations as they allow more time for correction and to maintain balance. This review provides an overview of the electrolyte and acid-base disturbances occurring in AKI and after the initiation of dialysis and discusses therapeutic options in this setting.
Authors:
Rolando Claure-Del Granado; Rolando Claure; Josée Bouchard
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2012-10-24
Journal Detail:
Title:  Blood purification     Volume:  34     ISSN:  1421-9735     ISO Abbreviation:  Blood Purif.     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-25     Completed Date:  2013-04-01     Revised Date:  2013-04-16    
Medline Journal Info:
Nlm Unique ID:  8402040     Medline TA:  Blood Purif     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  186-93     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 S. Karger AG, Basel.
Affiliation:
Universidad del Valle, Cochabamba, Bolivia.
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MeSH Terms
Descriptor/Qualifier:
Acid-Base Imbalance / etiology*,  therapy*
Acidosis, Respiratory / etiology,  therapy
Acute Kidney Injury / complications*,  therapy*
Alkalosis, Respiratory / etiology,  therapy
Anticoagulants / therapeutic use
Citrates / therapeutic use
Humans
Renal Replacement Therapy / methods*
Water-Electrolyte Imbalance / etiology*,  therapy*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Citrates
Comments/Corrections
Erratum In:
Blood Purif. 2012;34(3-4):353
Blood Purif. 2012;34(2):193
Note: Claure, Rolando [corrected to Claure-Del Granado, Rolando]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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