Physiologic acid-base and electrolyte changes in acute and chronic renal failure patients.
Patients with acute and chronic renal failure are vulnerable to a wide variety of acid-base and electrolyte disturbances. The variety is related not only to predictable disturbances that arise as a consequence of impaired urinary excretion, but also to associated factors, such as intercurrent disease processes, chronic medications, and renal replacement therapy. This article emphasizes the pathogenesis, diagnosis, and treatment of common problems, including metabolic acidosis, hyponatremia, hypernatremia, hyperkalemia, hyperphosphatemia, and hypocalcemia.
Prough
D S
DS
Department of Anesthesiology, University of Texas Medical Branch, Galveston, USA. dsprough@utmb.edu
D000137:Acid-Base Imbalance / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000628:therapy; D058186:Acute Kidney Injury / Q000150:complications / Q000378:metabolism*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000378:metabolism*; D014883:Water-Electrolyte Imbalance / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000628:therapy