The Cribsiders S6 Ep118: Even MORE Bananas, B-A-N-A-N-A-S: Hyperkalemia in CKD
Aug 21, 2024
Dr. Jordan Symons, a nephrologist with expertise in kidney health, dives deep into the complex management of hyperkalemia in patients with chronic kidney disease. He discusses why a potassium level of 5.9 may not be alarming for some and emphasizes careful monitoring. Insights into dietary adjustments, the role of medications, and the importance of collaboration among healthcare providers are key highlights. The conversation also sheds light on challenges in pediatric nephrology and addresses social determinants like food insecurity in managing chronic conditions.
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Cause of Chronic Hyperkalemia in CKD
- Chronic hyperkalemia in CKD is mostly caused by impaired kidney potassium excretion.
- Medications and underlying kidney disease reduce potassium elimination, making hyperkalemia management complex.
Dietary Management in CKD Hyperkalemia
- Adjust dietary potassium intake carefully with renal dietitian input to manage hyperkalemia in CKD.
- Regularly communicate with nephrologists to monitor potassium and adjust care plans accordingly.
Potassium Tolerance Thresholds
- Don't worry about potassium below 6 mEq/L in CKD patients if stable.
- For potassium above 6, evaluate context, medication changes, and consider adding diuretics instead of immediately stopping RAS inhibitors.