Electrolyte, acid-base, and medication management with renal replacement therapy.

Haley L Kavelak

Journal: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition 2022;37(5):1015-1022

PMID: 35780309

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Abstract

Fluid and electrolyte homeostasis exhibited by the kidneys is a complex process that is challenging to regulate with artificial renal replacement therapy (RRT). RRT has been used as a treatment modality for electrolyte and acid-base disturbances in patients with acute kidney injury and chronic kidney disease. This review highlights the management of electrolyte shifts, acid-base disturbances, and medication considerations in RRT, with a focus on intermittent hemodialysis and continuous RTT in the inpatient setting.

Address: Department of Pharmacy, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA.

DOI: 10.1002/ncp.10880

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MeSH Terms: Acute Kidney Injury, Electrolytes, Humans, Medication Therapy Management, Renal Dialysis, Renal Replacement Therapy