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.
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
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.
can be fatal particularly in the first year of the PD.HEMODIALYSIS Vs PERITONEAL DIALYSIS
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