2018
DOI: 10.1159/000490008
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Dyskalemia in Chronic Kidney Disease: How Concerned Should We Be?

Abstract: Context: The widespread use of diuretics, potassium supplements, and medications that block renin angiotensin system puts the chronic kidney disease (CKD) population at high risk for dyskalemia, both hyperkalemia and hypokalemia. The optimal potassium level in a CKD patient is unknown. Subject of review: Two recent studies found conflicting results on the association of dyskalemia with outcomes. The Renal Research Institute CKD study [Clin J Am Soc Nephrol 2010; 5: 762–769] found increased mortality and incide… Show more

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Cited by 2 publications
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“…Although renin–angiotensin–aldosterone system inhibitors (RAASis) are mainstays of therapy among patients with proteinuric and diabetic CKD [ 6 ], use of maximum renoprotective RAASi dosages is limited due to RAASi-associated K + elevation risk [ 3 ]. Patients with severe CKD (Stages 4 and 5, eGFR <30 mL/min/1.73 m 2 ) often have strict dietary requirements, including restricted intake of fluids, protein, sodium, phosphate and K + .…”
Section: Introductionmentioning
confidence: 99%
“…Although renin–angiotensin–aldosterone system inhibitors (RAASis) are mainstays of therapy among patients with proteinuric and diabetic CKD [ 6 ], use of maximum renoprotective RAASi dosages is limited due to RAASi-associated K + elevation risk [ 3 ]. Patients with severe CKD (Stages 4 and 5, eGFR <30 mL/min/1.73 m 2 ) often have strict dietary requirements, including restricted intake of fluids, protein, sodium, phosphate and K + .…”
Section: Introductionmentioning
confidence: 99%