Potassium Issues:
in Hemodialysis Dialysis Chronic Kidney Disease and End Stage Renal Disease

Potassium,symbol K, is a mineral critical to cell functioning. Potassium is especially important in the functioning of the heart's conduction system. Too little or too much potassium can result in potentially deadly hear rhythm. The blood levels of potassium are primarily controlled through the kidneys. Patients with kidney failure are encouraged to monitor their diets for potassium intake and have their potassium blood levels checked regularly.

The publications below discuss the potassium in hemodialysis and kidney failure patients.

Potassium in Hemodialysis CKD and End Stage Renal Failure 11/24/2012

Reference: ASN 2012

SA-PO520] Serum Aldosterone Concentrations Relate to Fluid Overload and Serum Potassium Levels in Hemodialysis Patients

Jochen G. Raimann, Li Liu, Fansan Zhu, Adam Tashman, Andrew S. Bomback, Philip J. Klemmer, Nathan W. Levin and Peter Kotanko.

The clinical significance of hyperkalaemia-associated repolarization abnormalities in end-stage renal disease 

  • Heather D. Green, David I. New, and Philip A. Kalra
The clinical significance of hyperkalaemia-associated repolarization abnormalities in end-stage renal diseaseNephrol. Dial. Transplant. first published online May 18, 2012doi:10.1093/ndt/gfs129


Author Interview: Dr. Csaba P. Kovesdy, MD

Association of Hypo- and Hyperkalemia with Disease Progression and Mortality in Males with Chronic Kidney Disease: The Role of Race.
Hayes J, Kalantar-Zadeh K, Lu JL, Turban S, Anderson JE, Kovesdy CP
Nephron Clin Pract 2012;120:c8-c16 (DOI: 10.1159/000329511)

Author Interview: Dr Kai Ming Chow, MBChB, FRCP
Polycystic Kidney Disease Presenting With Hypertension and Hypokalemia

Kai Ming Chow, Ronald Ching-Wan Ma, Cheuk Chun Szeto, Philip Kam-Tao Li
American Journal of Kidney Diseases - 03 October 2011 (10.1053/j.ajkd.2011.08.020)

Chronic potassium depletion increases adrenal progesterone production that is necessary for efficient renal retention of potassium.

Elabida B, Edwards A, Salhi A, Azroyan A, Fodstad H, Meneton P, Doucet A
Bloch-Faure M, Crambert G.

Kidney Int. 2011 Aug;80(3):256-62. doi: 10.1038/ki.2011.15
UPMC Univ Paris 6/INSERM/CNRS, Laboratoire de Génomique, Physiologie et Physiopathologie Rénales, Centre de Recherche des Cordeliers, Paris, France

Damned If You Do, Damned If You Don't: Potassium Binding Resins in Hyperkalemia.

Clin J Am Soc Nephrol. 2010 Aug 26.

Watson M, Abbott KC, Yuan CM.
Department of Medicine, Walter Reed Army Medical Center, Washington, DC.

Acute Oral Potassium Overdose: The Role of Hemodialysis.

J Med Toxicol. 2010 Aug 19.

Bosse GM, Platt MA, Anderson SD, Presley MW.
Department of Emergency Medicine, University of Louisville, 530 S. Jackson Street, Louisville, KY, 40202, USA

Dietary Potassium Intake and Mortality in Long-term Hemodialysis Patients.
Am J Kidney Dis. 2010 Jun 25.

Noori N, et al
Harold Simmons Center for Chronic Disease Research and Epidemiology, Torrance, CA; Division of Nephrology and Hypertension, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA.



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