2013年11月15日星期五

Chronic Kidney Disease with High Potassium Level

Some patients with chronic kidney disease are diagnosed with high potassium level. High potassium level is recognized as the invisible killer of chronic kidney disease. Why there is high potassium level? How to deal with this symptom?
The causes of high potassium level with chronic kidney disease.
The kidneys normally remove excess potassium from the body. High potassium levels are more likely to occur when the kidneys are not working properly and are less able to get rid of potassium.
Certain medicines may cause potassium levels to build up because of their effect on the kidneys, including water pills (diuretics) and blood pressure medicines.
Any time potassium is released from the cells, it may build up in body fluids, including the bloodstream.Acidosis leads to the movement of potassium from inside the cells to the fluid outside the cells.
The treatments for high potassium level with chronic kidney disease.
Changes in your diet can help both prevent and treat high potassium levels. You may be asked to:
· Limit or avoid asparagus, avocados, potatoes, tomatoes or tomato sauce, winter squash, pumpkin, and cooked spinach
· Avoid taking salt substitutes if you are asked to eat a low-salt diet
· Limit or avoid oranges and orange juice, nectarines, Kiwis, raisins, or other dried fruit, bananas, cantaloupe, honeydew, prunes, and nectarines
You will need emergency treatment if your potassium level is very high, or if you have danger signs, such as changes in an ECG.
Emergency treatment may include:
· Calcium given into your veins (IV) to treat the muscle and heart effects of high potassium levels
· Glucose and insulin given into your veins (IV) to help lower potassium levels long enough to correct the cause
· Sodium bicarbonate if the problem is caused by acidosis
· Water pills (diuretics) to decrease total potassium
· Kidney dialysis if your kidney function is poor
· Medications that help remove potassium from the intestines before it is absorbed
· Kidney dialysis if your kidney function is poor
· Medications that help remove potassium from the intestines before it is absorbed

For more information, you can consult “High Potassium Levels and Stage 4 Chronic Kidney Disease”or send an email to kidneyask@hotmail.com.

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