Dialysate potassium concentration: Should mass balance trump electrophysiology?
Published
Journal Article (Review)
Nephrologists are faced with a difficult dilemma in choosing the ideal dialysis prescription to maintain neutral potassium mass balance. Should potassium mass balance goals prioritize the normalization of serum potassium levels using low potassium dialysate at the expense of provoking intradialytic arrhythmias, or should mass balance goals favor permissive hyperkalemia using higher dialysate potassium to avoid rapid intradialytic fluxes at the risk of more interdialytic arrhythmias? This review examines the factors that determine potassium mass balance among HD patients, the relationships between serum and dialysate potassium levels and outcomes, and concludes by examining currently available approaches to reducing risk of arrhythmias while managing potassium mass balance.
Full Text
Duke Authors
Cited Authors
- Pun, PH
Published Date
- November 2018
Published In
Volume / Issue
- 31 / 6
Start / End Page
- 569 - 575
PubMed ID
- 30027592
Pubmed Central ID
- 30027592
Electronic International Standard Serial Number (EISSN)
- 1525-139X
Digital Object Identifier (DOI)
- 10.1111/sdi.12738
Language
- eng
Conference Location
- United States