Kidney transplantation is the treatment of choice for ESKD. However, transplantation is associated with a variety of potential complications. Although much of the focus surrounds immunosuppression, electrolyte imbalances frequently arise. Herein, we discuss several common issues: hyperkalemia,
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Are There Fast-Food Choices for End-Stage Renal Disease Patients? A Look at Phosphorus and Potassium Content in Common Fast Foods – Journal of Renal Nutrition
Fast food is cheap, convenient, and common for the average American; adults consume an average of 11.3% of their daily calories from fast food.1 Fast food has become routine in most American’s lifestyles, including people with end-stage renal disease (ESRD). It is known that most fast foods are high in calories, fat, sugar, and salt because fast-food companies must provide nutritional facts at their stores and online.2 The phosphorus and potassium concentrations in foods are unfortunately not readily available to most patients or practitioners.
### What you need to know Hyponatraemia is the most frequently observed electrolyte abnormality.1 Mild hyponatraemia is associated with cognitive deficits and falls, but in hospitalised patients it is associated with increased mortality.2 In primary care, patients are often found to have hyponatraemia during chronic disease monitoring. This prompts a focused re-evaluation to consider underlying causes such as medication, cancer, or adrenal insufficiency.23 In this article we provide a framework to assess patients with hyponatraemia in primary care. Hyponatraemia is defined as a serum sodium value below the reference range (lower limit is usually 133-135 mmol/L). Hyponatraemia is often subdivided into mild, moderate, severe, and life threatening, using a combination of the presence of associated symptoms and the sodium value.34 There is, however, a poor correlation between symptomatology and serum sodium level, so both must be taken into account when considering urgency of referral and subsequent management. Hyponatraemia may be acute (arbitrarily defined as an onset within 48 hours), chronic (>48 hours), or unknown (where management should be as per chronic). Although it may ap
Sorgente: Hyponatraemia in primary care | The BMJ
Nephrology Madness: Meet the competitors for Collecting Tubule Region’s Principal Cell Group! Click here to view the entire Collecting Tubule Region. Download complete NephMadness brackets in PDF o…
Tra le competenze infemieristiche rientra anche l’esecuzione del prelievo arterioso da arteria radiale, sia in ambiente ospedaliero che domiciliare (A.D.I.) come chiarito nella seduta del 23 giugno del 2005 dal Consiglio Superiore di Sanità a seguito del parere richiesto dall’Ospedale di Latina.
Lo scenario attuale Le alterazioni del metabolismo minerale, ed in particolare l’iperfosforemia, sono riconosciute oggi fattori di rischio importanti per l’incremento della morbilità e mortalità dei pazienti affetti da malattia renale cronica, sia durante le fasi iniziali che nelle fasi più avanzate di malattia (1, 2). Il controllo del bilancio fosforico rappresenta pertanto un punto…Continue
Urinary sodium excretion, blood pressure, cardiovascular disease, and mortality: a community-level prospective epidemiological cohort study – The Lancet
Sodium intake was associated with cardiovascular disease and strokes only in communities where mean intake was greater than 5 g/day. A strategy of sodium reduction in these communities and countries but not in others might be appropriate.
RTA explained by Naan Derthaal. This should be good
Review Article from The New England Journal of Medicine — Diagnostic Use of Base Excess in Acid–Base Disorders
Query and Hypothesis Is the risk of ODS the same at all levels of starting PNa levels? And if not, perhaps we do not need to re-lower the PNa if starting in the mid-120s? Discussion The discussion focused on several points: