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Sthanu

Sthanu
@Sthanu5

Nov 25
6 tweets
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Q: Which of the following electrolyte abnormality is more common in peritoneal dialysis (PD) patients? A) Hypokalemia B) Hyperkalemia

Answer: A Contrary to hemodialysis (HD) patients, hypokalemia is more common in PD patients 👉 actually may require regular potassium repletion. For not fully understood reason, African-American patients are more prone to it.
This paradox effect in renal patients is due to 2 reasons: 1. Intraperit dialysate carries glucose load resulting in subsequent insulin release 👉 increases cellular uptake of potassium. 2. PD patients have increase bowel pota loss due to the chemical composition of dialysate
This hypokalemia is not fully benign 👉 can be fatal particularly in the first year of the PD.
HEMODIALYSIS Vs PERITONEAL DIALYSIS
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