کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3849804 1598322 2010 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A Physiologic-Based Approach to the Evaluation of a Patient With Hyperkalemia
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
پیش نمایش صفحه اول مقاله
A Physiologic-Based Approach to the Evaluation of a Patient With Hyperkalemia
چکیده انگلیسی
Hyperkalemia generally is attributable to cell shifts or abnormal renal potassium excretion. Cell shifts account for transient increases in serum potassium levels, whereas sustained hyperkalemia generally is caused by decreased renal potassium excretion. Impaired renal potassium excretion can be caused by a primary decrease in distal sodium delivery, a primary decrease in mineralocorticoid level or activity, or abnormal cortical collecting duct function. Excessive potassium intake is an infrequent cause of hyperkalemia by itself, but can worsen the severity of hyperkalemia when renal excretion is impaired. Before concluding that a cell shift or renal defect in potassium excretion is present, pseudohyperkalemia should be excluded.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Kidney Diseases - Volume 56, Issue 2, August 2010, Pages 387-393
نویسندگان
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