Saturday, 18 January 2014

Lower serum potassium in hemodialysis patients

Dietary Minerals are the group of minerals essential for our body to sustain normal functions and physical health.
In General, potassium is a very essential mineral to the human body for maintaining to build proteins and muscle, break down carbohydrates, maintain normal body growth and normal heart electricity, etc.
The Normal serum potassium is 3.5 to 5.5 mEq/L. The total body potassium is lower in females and in older patients, serum potassium concentration is independent of sex and age.
Hemodialysis is the most common method to remove waste products for treatment  in advanced and permanent kidney failure.

The benefits
Albumin is a protein made by the liver and found in your blood with function to help your body maintain fluid balance. Hypoalbuminemia, a medical condition where levels of albumin in blood serum are abnormally low characterized by with lower Serum potassium and lower Serum sodium.  In a study of Lower serum potassium combined with lower sodium concentrations predict long-term mortality risk in hemodialysis patients, suggested that hemodialysis patients with hypoalbuminemia combined with lower normalized protein catabolism rate (nPCR) are associated with is associated with worse health outcomes, more complex clinical management, and increased health care costs and those patients with higher levels of serum potassium and serum sodium tended to have better clinical outcomes. Other in the study of the same in chronic. indicated that hypoalbuminemia patients also had a lower cumulative survival rate than hyperkalemia (hyperK) patients.



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References
(1) Lower serum potassium combined with lower sodium concentrations predict long-term mortality risk in hemodialysis patients by Hwang JC, Jiang MY, Wang CT.(PubMed)
(2) Hypokalemia is associated with increased mortality rate in chronic hemodialysis patients, by Hwang JC, Wang CT, Chen CA, Chen HC.(PubMed)

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