{"id":2928,"date":"2020-03-28T04:46:18","date_gmt":"2020-03-28T09:46:18","guid":{"rendered":"https:\/\/ami.advancedrenaleducation.com\/wparep\/?post_type=article&p=1371"},"modified":"2025-05-09T17:07:38","modified_gmt":"2025-05-09T22:07:38","slug":"electrolyte-abnormalities","status":"publish","type":"article","link":"https:\/\/ami.advancedrenaleducation.com\/wparep\/asiapacific\/article\/electrolyte-abnormalities\/","title":{"rendered":"Electrolyte Abnormalities"},"content":{"rendered":"

Disturbances in many electrolyte concentrations in peritoneal dialysis patients may occur. However, the most common are those related to potassium, magnesium, and sodium(1,2).<\/p>\n

Hyper- and Hypokalemia<\/h4>\n

Hyperkalemia generally results from excessive dietary intake and insufficient dialysis. Hypokalemia is due to poor nutritional intake; excessive losses, either through vomiting or diarrhea or excessive dialysate losses; or from increased cellular uptake(1,2). The most common symptoms include mild or severe weakness and cardiac arrhythmias. Approximately 30% of PD patients require oral or IP potassium supplementation or are encouraged to increase their dietary intake.<\/p>\n

Hypermagnesemia<\/h4>\n

Hypermagnesemia is a common finding in CAPD patients particularly among those ingesting magnesium containing phosphate binders, antacids or laxatives. Hypermagnesemia suppresses PTH levels contributing to adynamic bone disease(3).<\/p>\n

Hypernatremia<\/h4>\n

Hypernatremia can result from high ultrafiltration and the repeated use of hypertonic PDF due to excessive removal of water and retention of sodium due to sieving(2).<\/p>\n

<\/div>
<\/div>\n

References<\/strong><\/p>\n

    \n
  1. Holley JL, Schmidt RJ. Noninfectious complications of continuous peritoneal dialysis. Golper TA, ed. UpToDate<\/em>. 2016. Available from: https:\/\/www.uptodate.com\/contents\/noninfectious-complications-of-continuo…<\/a>.<\/li>\n
  2. Bargman JM. Noninfectious Complications of Peritoneal Dialysis. In: Khanna R, Krediet RT, eds. Nolph and Gokal\u2019s Textbook of Peritoneal Dialysis<\/em>. Third. New York: Springer; 2009:571-609.<\/li>\n
  3. Navarro JF, Mora C, Garc\u00eda J, Mac\u00eda M, Gallego E, Chahin J, M\u00e9ndez ML, Rivero A. Hypermagnesemia in CAPD. Relationship with parathyroid hormone levels. Perit Dial Int<\/em>. 1998;18(1):77-80. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9527035<\/a>.<\/li>\n<\/ol>\n

    P\/N 102498-01 Rev. A 06\/2016<\/span><\/p>\n

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