Document Detail


The safety of low-potassium dialysis.
MedLine Citation:
PMID:  21166879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with kidney failure depend on dialysis to maintain neutral potassium balance. The amount of potassium removed during a hemodialysis treatment is inversely proportional to the potassium concentration in the dialysis bath. Nephrologists adjust the dialysis bath potassium to account for individual variation in potassium intake among their patients. This management strategy is remarkably successful, because most patients on maintenance hemodialysis have a normal predialysis serum potassium concentration. But the serum potassium concentration of patients on maintenance hemodialysis is not constant over time; it follows a sawtooth pattern. It is this instability--especially the acute fall during dialysis--that has concerned nephrologists for decades, particularly in view of the crucial role of potassium in cardiac electrophysiology. This concern is amplified by the extraordinarily high rate of sudden death among patients on maintenance hemodialysis. In this paper, we review the safety of low-potassium dialysis and make recommendations for managing patients whose serum potassium concentration falls outside the target range.
Authors:
Lawrence S Weisberg; Jean-Sebastien Rachoin
Related Documents :
12169869 - Relation between interdialytic weight gain, body weight and nutrition in hemodialysis p...
16824639 - Comparison of survival between diabetic and non-diabetic patients on maintenance hemodi...
8821199 - Serum soluble interleukin 2 receptor in hemodialysis patients treated with recombinant ...
791339 - Bullous dermatosis of chronic renal failure.
11068219 - Oral folate reduces plasma homocyst(e)ine levels in hemodialysis patients with cardiova...
8430679 - Occurrence of pyuria and bacteriuria in asymptomatic hemodialysis patients.
18446719 - Intravenous iron without erythropoietin for the treatment of iron deficiency anemia in ...
12383579 - Noninvasive pacemaker stress echocardiography for diagnosis of coronary artery disease:...
17296639 - Clinical application of tissue doppler imaging in patients with idiopathic pulmonary hy...
Publication Detail:
Type:  Journal Article; Review     Date:  2010-12-20
Journal Detail:
Title:  Seminars in dialysis     Volume:  23     ISSN:  1525-139X     ISO Abbreviation:  Semin Dial     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-12-23     Completed Date:  2011-05-17     Revised Date:  2011-06-13    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  556-60     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley Periodicals, Inc.
Affiliation:
Division of Nephrology, UMDNJ-Robert Wood Johnson Medical School, Cooper University Hospital, Camden, New Jersey 08103, USA. Weisberg-Larry@CooperHealth.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Dialysis Solutions / pharmacokinetics*
Dose-Response Relationship, Drug
Humans
Kidney Failure, Chronic / blood,  therapy*
Potassium / pharmacokinetics*
Renal Dialysis / methods*
Chemical
Reg. No./Substance:
0/Dialysis Solutions; 7440-09-7/Potassium

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


Previous Document:  Electrolyte management in frequent home hemodialysis.
Next Document:  Functional polymorphisms in the NBS1 gene and acute lymphoblastic leukemia susceptibility in a Chine...