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Treatment for hyperkalemia at the terminal stage of chronic kidney disease (CKD)

2017-05-15 16:57

Treatment for hyperkalemia at the terminal stage of chronic kidney disease (CKD). How to effectively treat hyperkalemia in chronic kidney disease (CKD) at the terminal stage? Treatment of hypercoaemia is important, but at the same time, one should not ignore the treatment of renal failure in the terminal stage. Here are some useful information for patients with CKD and hyperkalemia.

Hyperkalemia refers to a condition where the potassium concentration in the serum is higher than normal: 3.5 to 5.5 meq / l. Serum potassium levels above 7mEq / L can cause significant hemodynamic and neurological adverse effects, and even potassium levels above 8.5mEq / l cause respiratory paralysis or cardiac arrest and can quickly lead to death. Now we are basically talking about the hyperkalemia caused by damaged kidneys.

In the usual case, the kidneys are responsible for the removal of potassium from the blood and body. In many cases, hyperkalemia is caused by impaired renal function, including kidney function. The terminal stage of CKD is the latest stage, then there are severe kidney damage and low glomerular filtration rate (GFR) below 15ml / min or less. Almost all kidney function is lost, which causes hyperkalemia, which is already a common symptom.

General treatment for hyperkalemia in hospitals:

If the patient only suffers from a moderate elevated potassium level and without any ECG (electrocardiogram), then often take mediotics for the cation-exchange resin and diuretics, to correct the source of excess potassium.

For patients with severe hyperkalemia, then identify and eliminate sources of potassium intake; Correct severe metabolic acidosis with sodium bicarbonate; IV-glucose and insulin are poured in to increase potassium uptake by cells; Consider beta-adrenoreceptors, etc.

The best remedy for hyperkalemia in the terminal stage of CKD:

Emergency dialysis is often taken in patients with potential fatal hyperkalemia. Although dialysis can remove toxins and harmful substances, it is not a long-term choice. If you are interested in treatment for hyperkalemia at the terminal stage and recovery of kidney function, you can contact our online doctor.

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