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Hyperkalemia Updates
Hyperkalemia Doubles Risk of Mortality in Acute Heart Failure
Rising levels of serum potassium spells trouble for older patients with acute heart failure, indicating aggressive treatment for their hyperkalemia on admission to the emergency department.
Should CKD Patients Limit Their Potassium Intake?
Low-potassium diets are routinely recommended to patients with severe CKD and those receiving hemodialysis. However, results from a Japanese study suggest dietary potassium intake to be only weakly associated with serum potassium level in these patients.
Acute Kidney Injury: Which Clinical and Lab Data Predict Recovery?
Researchers in Stockholm identified factors associated with improved kidney recovery in patients with mild-to-moderate acute kidney injury. The study’s findings may help clinicians lower the risk of chronic kidney disease in this population.
Should RAAS Inhibitors Be De-intensified for Hyperkalemia?
When treating certain conditions, clinicians sometimes discontinue or dial back the strength of renin-angiotensin-aldosterone system inhibitors because of hyperkalemia, a potentially dangerous side effect. A team of researchers took a closer look.
In Patients with CKD, is it Time to Dial Back the NSAID Prescriptions?
Yes, say the results of this study, which found that NSAID prescribing rates are high for patients with chronic kidney disease, despite guidelines limiting their use. To make matters potentially worse, monitoring for kidney injury was low among participants receiving NSAIDs.
Is RAASi Therapy Safe in Heart Failure Patients with Moderate Hyperkalemia?
These investigators claim that the risks of down-titrating or discontinuing RAASi therapy in heart failure patients with moderate hyperkalemia may be overstated.
In CKD, We Need to Work Harder to Prevent the Preventable
Investigators at the University of Hawaii recently reported that, among patients hospitalized with chronic kidney disease, 1.7% experienced a preventable hospitalization and 12.3% were super-utilizers of inpatient services over a 12-month follow-up period.
Using ECG for the Diagnosis of Hyperkalemia
This retrospective chart review of end-stage renal disease patients presenting for emergency hemodialysis suggests that QRS interval widening is predictive of hyperkalemia in this patient population but cannot be used to exclude it.
In Patients on Dialysis, Could This Nomogram Predict Hyperkalemia Development?
Researchers have developed a nomogram to aid clinicians in predicting hyperkalemia risk among patients receiving hemodialysis.