Increased excretion of K was accompanied by a small increase in Na excretion.Excretion of both Cl and HCO3 increased, Cl more after KCI, and HCO3 more after KHCO3.The results indicate that within normal ranges, plasma K is an important factor determining the rate of excretion of K.
Existing investigation of K excretion has led to two general conclusions:firstly, that under normal conditions the rate of excretion of K is less than 30% of the amount filtered at the glomeruli and there must therefore be proximal tubular reabsorption of K; secondly, that under abnormal conditions of K loading, renal failure, some diuretics etc., the rate of excretion of K can exceed the amount filtered and there must then be distal tubular secretion of K. Current theory proceeds further to propose that under all circumstances proximal reabsorption is nearly complete and that the K normally appearing in the urine is due to secretion in the distal tubules. The evidence for these concepts has been reviewed by Berliner and Brenner [1973] and Schultze [1973].