Dyselectrolytemia-management and implications in hemodialysis (Review).

calcium dyselectrolitemias hemodialysis mortality potassium sodium

Journal

Experimental and therapeutic medicine
ISSN: 1792-0981
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 10 07 2020
accepted: 11 08 2020
entrez: 28 12 2020
pubmed: 29 12 2020
medline: 29 12 2020
Statut: ppublish

Résumé

Hemodialysis is a method for the renal replacement therapy followed by series of acute and chronic complications. Dyselectrolytemia appears in patients undergoing dialysis through mechanisms related to the chronic kidney disease and/or to the dialysis therapy and for this group of patients it is associated with an increase of morbidity and mortality. The dialysate has a standard composition, which can be modified according to the patient's characteristics. During hemodialysis patients are exposed to 18,000-36.000 litres of water/year, and the water purity along with the biochemical composition of the dialysate are essential. The individualization of the dialysis prescription is recommended for each patient and it has an important role in preventing the occurrence of dyselectrolyemia. The individualization of the treatment prescription according to the blood constants of each patient is the prerogative of the nephrologist and the association of the electrolyte imbalances with the patients cardiovascular mortality explains the importance of paying special attention to them.

Identifiants

DOI: 10.3892/etm.2020.9534 PMID: 33363613 PMC: PMC7725007
pubmed: 33363613
doi: 10.3892/etm.2020.9534
pii: ETM-0-0-09534
pmc: PMC7725007
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

102

Informations de copyright

Copyright: © Timofte et al.

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Auteurs

Delia Timofte (D)

Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.

Maria-Daniela Tanasescu (MD)

Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Nephrology, Emergency University Hospital, 050098 Bucharest, Romania.

Andra-Elena Balcangiu-Stroescu (AE)

Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.
Discipline of Physiology, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Daniela Gabriela Balan (DG)

Discipline of Physiology, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Adrian Tulin (A)

Department of Anatomy, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of General Surgery, 'Prof. Dr. Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania.

Ovidiu Stiru (O)

Department of Cardiovascular Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Cardiovascular Surgery, 'Prof. Dr. C.C. Iliescu' Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.

Ileana Adela Vacaroiu (IA)

Department of Nephrology and Dialysis, St. Ioan Emergency Clinical Hospital, 042122 Bucharest, Romania.
Department of Nephrology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Andrada Mihai (A)

Discipline of Diabetes, 'Prof. N. Paulescu' National Institute of Diabetes, Nutrition and Metabolic Diseases, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Second Department of Diabetes, 'Prof. N. Paulescu' National Institute of Diabetes, Nutrition and Metabolic Diseases, 020474 Bucharest, Romania.

Popa Cristian Constantin (PC)

Department of Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Surgery, Emergency University Hospital, 050098 Bucharest, Romania.

Cristina-Ileana Cosconel (CI)

Discipline of Foreign Languages, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Mihaly Enyedi (M)

Department of Anatomy, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Radiology, 'Victor Babes' Private Medical Clinic, 030303 Bucharest, Romania.

Daniela Miricescu (D)

Discipline of Biochemistry, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Dorin Ionescu (D)

Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Nephrology, Emergency University Hospital, 050098 Bucharest, Romania.

Classifications MeSH