Disorders of potassium homeostasis after kidney transplantation  

作　　者：Abdelhamid Aboghanem G V Ramesh Prasad 

机构地区：[1]School of Medicine,University of Toronto,Toronto M5C 2T2,Ontario,Canada [2]Kidney Transplant Program,St.Michael's Hospital,Toronto M5C 2T2,Ontario,Canada

出　　处：《World Journal of Transplantation》2024年第3期40-51,共12页世界移植杂志

摘　　要：Disturbances of potassium balance are often encountered when managing kidney transplant recipients(KTR).Both hyperkalemia and hypokalemia may present either as medical emergencies or chronic outpatient abnormalities.Despite the high incidence of hyperkalemia and its potential life-threatening implications,consensus on its management in KTR is lacking.Hypokalemia in KTR is also well-described,although it is given less attention by clinicians compared to hyper-kalemia.This article discusses the etiology,pathophysiology and management of both types of potassium disorders in KTR.Once any emergent situation has been corrected,treatment approaches include correcting insulin deficiency if present,adjusting non-immunosuppressive and immunosuppressive medications,elimi-nating or supplementing potassium as needed,and dietary counselling.Although commonly of multifactorial etiology,ascertaining the specific cause in a particular patient will help guide successful management.Monitoring KTR through regular laboratory testing is essential to detect serious disturbances in potassium balance since patients are often asymptomatic.

关 键 词：Balance DIALYSIS HYPERKALEMIA HYPOKALEMIA KIDNEY Metabolism POTASSIUM 

分 类 号：R699.2[医药卫生—泌尿科学]