Current Management of Hyperkalemia in Patients on Dialysis

Shweta Bansal, Pablo E. Pergola

Resultado de la investigación: Review articlerevisión exhaustiva

8 Citas (Scopus)

Resumen

Patients with end-stage renal disease (ESRD) on maintenance dialysis have a high risk of developing hyperkalemia, generally defined as serum potassium (K+) concentrations of >5.0 mmol/l, particularly those undergoing maintenance hemodialysis. Currently, the key approaches to the management of hyperkalemia in patients with ESRD are dialysis, dietary K+ restriction, and avoidance of medications that increase hyperkalemia risk. In this review, we highlight the issues and challenges associated with effective management of hyperkalemia in patients undergoing maintenance dialysis using an illustrative case presentation. In addition, we examine the potential nondialysis options for the management of these patients, including use of the newer K+ binder agents patiromer and sodium zirconium cyclosilicate, which may reduce the need for the highly restrictive dialysis diet, with its own implication on nutritional status in patients with ESRD, as well as reducing the risk of potentially life-threatening hyperkalemia.

Idioma originalEnglish (US)
Páginas (desde-hasta)779-789
Número de páginas11
PublicaciónKidney International Reports
Volumen5
N.º6
DOI
EstadoPublished - jun. 2020
Publicado de forma externa

ASJC Scopus subject areas

  • Nephrology

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