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Avoid Heart Failure In Kidney Failure With High Potassium


2019-04-06 14:49

High Potassium,Kidney Failure,Heart FailureKidney Failure occurs in a wide range of areas. On the one hand, it can cause various uncomfortable symptoms such as hematuria, proteinuria, edema and other complications. On the other hand, once the renal function has been substantially impaired, all aspects of renal function will be reduced, including glomerular filtration function, renal tubular reabsorption function, and the role of regulating electrolyte, acid-base balance will be imbalanced.

Nephrotic patients often focus on relieving individual symptoms, such as proteinuria, edema and hematuria, but neglect the regulation and recovery of some renal functions. One of the indicators has an important impact on the development of renal function and the condition of the disease, but in the treatment, some nephrophiles do not attach enough importance to this indicator, which threatens the development of renal function.

This indicator is high blood potassium!

Potassium is an important substance in the body, which plays an important role in regulating osmotic pressure and electrolyte balance. When the renal function of nephrotic patients decreases, electrolyte metabolic disorders, difficulty in potassium excretion, and more potassium elements accumulate in the blood will lead to the occurrence of hyperkalemia.

The harm of elevated serum potassium is not only reflected in the elevation of endotoxin level in the kidney, but also aggravates the metabolic burden of the kidney. In addition, hyperkalemia can cause some serious complications. Milder patients will have symptoms of numbness, weakness, physical and mental fatigue, fatigue and other discomforts. The more serious patients will cause abnormal heartbeat, arrhythmia, palpitation and even shock.

In the course of nephropathy treatment, hyperkalemia can be determined by detecting blood potassium more than 5.5mmol/L. It is more serious to detect blood potassium more than 7.0mmol/L. Potassium excretion therapy should be carried out immediately to reduce blood potassium concentration so as to avoid accelerating renal failure and causing heart disease to endanger life and health.

How to help avoid heart failure in kidney failure with high potassium?

1. Take drugs to promote potassium excretion

The accumulation of blood potassium is mainly due to the damage of kidney cells, glomeruli and other tissues, the reduction of urine formed by filtration, and the reduction of urine output in vitro, which leads to the accumulation of potassium. Generally, patients with nephropathy whose urine volume is less than 1000 milliliters will have elevated blood potassium.

Thiazide diuretics can be chosen to promote urine excretion to metabolize more potassium ions, or oral or enema potassium-lowering resins can promote potassium excretion through ion exchange in the intestine. For the patients who are in serious need of potassium excretion, hemodialysis can be used for potassium excretion treatment.

2. Eat less potassium-rich foods

The human body has the function of retaining sodium and excreting potassium. Kidney metabolic potassium ions have the characteristics of "eating more, eating less, not eating and discharging". When the glomerular filtration is damaged, slow excretion will cause accumulation. Therefore, patients with high blood potassium should limit the intake of potassium from the source. There are mainly several kinds of foods with high potassium content:

Fruits with high potassium content: bananas, longans, coconuts, fresh dates, coconuts, avocados, cherries, apricots, hawthorns and so on. The potassium content of every 100 grams of food is more than 200 mg, and the preserved fruits such as raisins and longans made by these foods have higher potassium content and should be less intake.

Vegetables with high potassium content mainly include green leafy vegetables such as spinach, leek, garlic seedlings, dark vegetables such as pepper, eggplant, tomatoes, mushrooms such as Flammulina velutipes, mushrooms, beans such as red beans, soybeans, peas, mung beans and so on. For green leafy vegetables, such as spinach, it can reduce potassium content by boiling water before eating.

In addition, there are some drinks such as coffee, strong tea, spices such as chicken essence, oil consumption, low sodium salt and other potassium-rich, in the daily diet, we should pay attention to the intake of these foods.

3. Avoid taking potassium-raising drugs

In the course of nephropathy treatment, different drugs will be taken for different symptoms, but some drugs will have some side effects. If the side effects are greater than the therapeutic effects, the drug should be adjusted or stopped. In the treatment of nephropathy, some drugs have potassium-raising effects, such as antihypertensive drugs such as pril and sartan, immunosuppressive agents such as cyclosporine, potassium-preserving diuretics such as spironolactone, etc. We should pay more attention to them.

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