• Latest
  • Trending
  • All
  • Transplant
  • Dialysis
  • Donation
Managing Electrolyte Imbalances in Kidney Transplant Recipients

Managing Electrolyte Imbalances in Kidney Transplant Recipients

PGI s Nephrology Dept plans to start independent dialysis centre

PGI s Nephrology Dept plans to start independent dialysis centre

6-month-old Austin baby heads home after heart transplant at Dell Children’s

6-month-old Austin baby heads home after heart transplant at Dell Children’s

Health Beat: A record-setting year for saving lives – Washington Daily News

Health Beat: A record-setting year for saving lives – Washington Daily News

‘Kidney disease can strike at any age’

‘Kidney disease can strike at any age’

New hope for kidney revival for transplant

Incongruent messaging key to getting people to register as organ donors

World Liver Day: Malvern resident lives life to the full after successful liver and kidney transplant

World Liver Day: Malvern resident lives life to the full after successful liver and kidney transplant

LifeCenter Northwest honors Virginia Mason Franciscan Health system with 16 2020 Hospital Awards | State

LifeCenter Northwest honors Virginia Mason Franciscan Health system with 16 2020 Hospital Awards | State

Families in cities outside Cambridge are eligible for Just-A-Start, Cambridge Savings rent help

Families in cities outside Cambridge are eligible for Just-A-Start, Cambridge Savings rent help

Brother donates kidney to sister: ‘He saved my life’

Brother donates kidney to sister: ‘He saved my life’

MedWatch Today: Video of Teen’s Honor Walk Hopes to Inspire People to Become Organ Donors

MedWatch Today: Video of Teen’s Honor Walk Hopes to Inspire People to Become Organ Donors

Conemaugh Meyersdale hosts flag raising ceremony | Somerset

Conemaugh Meyersdale hosts flag raising ceremony | Somerset

Busting myths associated with fatty liver disease

Busting myths associated with fatty liver disease

  • Privacy Policy
  • Terms and Conditions
  • About Us
  • Contact Us
Monday, April 19, 2021
Transplant News
No Result
View All Result
  • Home
  • Transplant
    • All
    • Kidney Transplant
    6-month-old Austin baby heads home after heart transplant at Dell Children’s

    6-month-old Austin baby heads home after heart transplant at Dell Children’s

    ‘Kidney disease can strike at any age’

    ‘Kidney disease can strike at any age’

    World Liver Day: Malvern resident lives life to the full after successful liver and kidney transplant

    World Liver Day: Malvern resident lives life to the full after successful liver and kidney transplant

    Brother donates kidney to sister: ‘He saved my life’

    Brother donates kidney to sister: ‘He saved my life’

    Busting myths associated with fatty liver disease

    Busting myths associated with fatty liver disease

    RTL Today – Two hearts: Spaniard gets heart transplant call as wife gives birth

    RTL Today – Two hearts: Spaniard gets heart transplant call as wife gives birth

    AHA News: Stroke, Blindness, a Heart Transplant – And a Can-Do Spirit – Consumer Health News

    AHA News: Stroke, Blindness, a Heart Transplant – And a Can-Do Spirit – Consumer Health News

    Coronation Street’s Todd ‘to save’ Peter as fans ‘work out’ liver transplant twist

    Coronation Street’s Todd ‘to save’ Peter as fans ‘work out’ liver transplant twist

    When The Liver Can No Longer Function (Video)

    When The Liver Can No Longer Function (Video)

    Woman from Point Pleasant, WV encourages organ donation following heart transplant

    Woman from Point Pleasant, WV encourages organ donation following heart transplant

  • Donation
    • All
    • Kidney Donation
    • Liver Donation
    • Organ Donation
    Health Beat: A record-setting year for saving lives – Washington Daily News

    Health Beat: A record-setting year for saving lives – Washington Daily News

    New hope for kidney revival for transplant

    Incongruent messaging key to getting people to register as organ donors

    LifeCenter Northwest honors Virginia Mason Franciscan Health system with 16 2020 Hospital Awards | State

    LifeCenter Northwest honors Virginia Mason Franciscan Health system with 16 2020 Hospital Awards | State

    MedWatch Today: Video of Teen’s Honor Walk Hopes to Inspire People to Become Organ Donors

    MedWatch Today: Video of Teen’s Honor Walk Hopes to Inspire People to Become Organ Donors

    Organ donations down, even as thousands of Canadians wait for transplants

    Organ donations down, even as thousands of Canadians wait for transplants

    ‘Driscoll is dedicated in helping raise awareness of organ donation’

    ‘Driscoll is dedicated in helping raise awareness of organ donation’

    8 years after heart transplant, S.I. boy has tree dedicated to him

    8 years after heart transplant, S.I. boy has tree dedicated to him

    UnityPoint Health joining Gift of Hope to spread the message of organ donation

    UnityPoint Health joining Gift of Hope to spread the message of organ donation

    College of DuPage kicks off blood drive, Organ Donation Awareness campaign

    College of DuPage kicks off blood drive, Organ Donation Awareness campaign

    After donating kidney, woman receives own transplant

    After donating kidney, woman receives own transplant

  • Dialysis
    Global Medical Kidney Dialysis Machines Market 2020 Industry Insights, Top Trends, Drivers, Growth & Forecast to 2025 – FLA News

    Global Medical Kidney Dialysis Machines Market 2020 Industry Insights, Top Trends, Drivers, Growth & Forecast to 2025 – FLA News

    2026 with key players position (NxStage, Aksys Ltd, Diaverum, Texas Instruments) – NeighborWebSJ

    2026 with key players position (NxStage, Aksys Ltd, Diaverum, Texas Instruments) – NeighborWebSJ

    ‘It’s really taken a toll’

    ‘It’s really taken a toll’

    DaVita Inc. 4th Quarter 2020 Results

    DaVita Inc. 4th Quarter 2020 Results

    NKF Spring Clinical Meetings to spark dialogue, collaboration in virtual format

    NKF Spring Clinical Meetings to spark dialogue, collaboration in virtual format

    Dialysis Market Latest Research Forecast 2020-2029 | Top Players: Fresenius Medical Care AG & Co KGaA, Baxter International Inc, DaVita Inc

    Kidney Dialysis Centers Market 2021 | Latest Trends, Demand, Growth, Opportunities & Outlook Till 2027 | Top Key Players: Baxter, B. Braun Melsungen AG, BD, Cantel Medical

    B. Braun Melsungen AG, Baxter International Inc. – FLA News

    B. Braun Melsungen AG, Baxter International Inc. – FLA News

    Teen donates kidney to save his mother’s life

    Teen donates kidney to save his mother’s life

    NKF launches tool that predicts kidney disease progression in children

    NKF launches tool that predicts kidney disease progression in children

    Few patients eligible for twice-weekly dialysis during COVID-19 pandemic

    Few patients eligible for twice-weekly dialysis during COVID-19 pandemic

  • Donor
    • All
    • Kidney Donor
    • Organ Donor
    PGI s Nephrology Dept plans to start independent dialysis centre

    PGI s Nephrology Dept plans to start independent dialysis centre

    Families in cities outside Cambridge are eligible for Just-A-Start, Cambridge Savings rent help

    Families in cities outside Cambridge are eligible for Just-A-Start, Cambridge Savings rent help

    Conemaugh Meyersdale hosts flag raising ceremony | Somerset

    Conemaugh Meyersdale hosts flag raising ceremony | Somerset

    Family of Bridgeport man hand out flyers on foot in search of kidney donor

    Family of Bridgeport man hand out flyers on foot in search of kidney donor

    EMT, Gift of Life advocate saves lives after kidney donation saved hers | Local News

    EMT, Gift of Life advocate saves lives after kidney donation saved hers | Local News

    Stem cell therapy trials in kidney transplants called impressive

    Stem cell therapy trials in kidney transplants called impressive

    An ethical analysis of obesity as a determinant of pediatric heart transplant candidacy

    Gender and race/ethnicity differences in living kidney donor demographics: Preference or disparity?

    Charlotte County hero still looking for kidney donor

    Charlotte County hero still looking for kidney donor

    Pair reconnects over kidney donation | News

    Pair reconnects over kidney donation | News

    UPMC : Organ Transplants | ABC27

    UPMC : Organ Transplants | ABC27

  • Editor’s Pick
  • Videos
    Exercise and Lifestyle with Cardiomyopathy

    Exercise and Lifestyle with Cardiomyopathy

    BSC Renal Dialysis Technology Course career and scope in malayalam

    BSC Renal Dialysis Technology Course career and scope in malayalam

    On the other side, my experience as a stem cell donor

    On the other side, my experience as a stem cell donor

    Rehman Free Dialysis Center

    Rehman Free Dialysis Center

    Advances in Lung Transplant: Better Testing, Matching and Conditioning

    Advances in Lung Transplant: Better Testing, Matching and Conditioning

    Dialysis time

    Dialysis time

    Medical Treatment of Dilated Cardiomyopathy – Chet Patel, MD

    Medical Treatment of Dilated Cardiomyopathy – Chet Patel, MD

    Vlog088 "My Mini Dialysis Testimony"

    Vlog088 "My Mini Dialysis Testimony"

    MacLean Conference – Walter Glannon "Are We Underestimating the Risk in Living Kidney Donation?"

    MacLean Conference – Walter Glannon "Are We Underestimating the Risk in Living Kidney Donation?"

Transplant News
Home Transplant

Managing Electrolyte Imbalances in Kidney Transplant Recipients

in Transplant
Managing Electrolyte Imbalances in Kidney Transplant Recipients
491
SHARES
1.4k
VIEWS
Share on FacebookShare on Twitter

By creator to www.renalandurologynews.com

Potassium, magnesium, and calcium-phosphorus imbalances should be rigorously managed in kidney transplant recipients, in keeping with Clifford D. Miles, MD, and Scott Gregory Westphal, MD, of the College of Nebraska Medical Heart, who authored a “How I Deal with” article printed within the Scientific Journal of the American Society of Nephrology.

Hyperkalemia

Decline in graft perform,
metabolic acidosis, and sure drugs all contribute to hyperkalemia in
transplant recipients, the authors mentioned. Use of calcineurin inhibitors for
immunosuppression, together with tacrolimus and cyclosporine, is a selected concern
and probably requires a change in immunosuppressive routine. Calcineurin
inhibitors inhibit mineralocorticoid manufacturing, play a job in mineralocorticoid
resistance, and activate the thiazide-sensitive sodium-chloride cotransporter
within the distal convoluted tubule, they defined.

When serum potassium is
mildly elevated to five.1 to five.7 mEq/L, checking the affected person’s metabolic profile,
immunosuppressant degree, dietary potassium consumption, and medical image ought to counsel
the place applicable changes are wanted.

Hyperkalemia additionally could also be a
signal of latest allograft dysfunction, Dr Miles and Dr Westphal warned. Elevated
potassium within the setting of secure graft perform, nonetheless, could point out
metabolic acidosis and the necessity for oral sodium bicarbonate. Recipients with hyperkalemia,
hypertension, and acidosis (signs per sodium-chloride
cotransporter activation) would possibly profit from thiazides. Loop diuretics could assist
hyperkalemic sufferers with quantity overload.

For refractory
hyperkalemia, Dr Miles and Dr Westphal have had some success with the
potassium-binding agent patiromer. “We instruct sufferers to take patiromer 4
hours after their morning mycophenolate, and haven’t witnessed points with
drug–drug interplay,” they said. Sodium zirconium cyclosilicate could also be one other
possibility.

Hypomagnesemia

One in 5 recipients
experiences persistently low magnesium ranges because of gastrointestinal and
urinary losses following use of calcineurin inhibitors, loop or thiazide
diuretics, proton-pump inhibitors, and patiromer. Hypomagnesemia is troublesome
to right, in keeping with the authors. They counsel dietary modification and
oral supplementation with magnesium oxide or magnesium chloride. Additionally they have had some success
with amiloride, a diuretic that spares magnesium together with potassium, which
will must be monitored.

Submit-Transplant Hyperparathyroidism

Greater than 85% of recipients
have persistent hyperparathyroidism. One examine discovered that parathyroidectomy was
simpler than the calcimimetic cinacalcet. Of their apply, Dr Miles
and Dr Westphal attempt to keep away from the surgical procedure for not less than 1 12 months after transplantation
within the hopes that hypercalcemia will ease.

“We provoke cinacalcet in
sufferers with reasonable hypercalcemia (>11.zero mg/dl), significantly if graft
dysfunction or signs are current. We begin cinacalcet at 30 mg day by day, and
titrate as tolerated to realize normocalcemia.”

In conclusion, managing
electrolyte imbalances after kidney transplantation is possible with
monitoring.

“Serial laboratory
evaluation of those electrolytes is central to titration of dietary supplements and
different interventions,” the authors wrote. “As a phrase of warning, the steps we
have described right here could result in vital enhance in tablet burden, as these
problems usually coexist. The potential impact on high quality of life and adherence to
immunosuppressive drugs must be borne in thoughts.”

Reference

Miles CD, Westphal
SG. Electrolyte problems in kidney transplantation. Clin J Am Soc Nephrol. 2020;15:412-414. doi: 10.2215/CJN.09470819

— to www.renalandurologynews.com

Share196Tweet123Share49
Previous Post

NHS nurse survives Covid-19 despite having kidney transplant

Next Post

‘Hoping to find my angel’: Stratham woman needs kidney donor – News – seacoastonline.com

Next Post
‘Hoping to find my angel’: Stratham woman needs kidney donor – News – seacoastonline.com

'Hoping to find my angel': Stratham woman needs kidney donor - News - seacoastonline.com

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Editor's Pick

People Turn Online To Find Organ Matches
Editor's Pick

People Turn Online To Find Organ Matches

For someone in need of a kidney transplant, the wait time for a compatible organ could last anywhere from five...

Woman Who Underwent Historic Double Transplant Surgery To Get New Kidney

Woman Who Underwent Historic Double Transplant Surgery To Get New Kidney

Tom Brady honors mentor with donation to local organ transplant organization

Tom Brady honors mentor with donation to local organ transplant organization

San Francisco police officer donates kidney to save a stranger

San Francisco police officer donates kidney to save a stranger

Patriots’ Tom Brady on Mission to Help Mentor

New England Patriots Tom Brady Helps To Save The Life Of A Woman Needing A Lifesaving Kidney Transplant

New England Patriots Tom Brady Helps To Save The Life Of A Woman Needing A Lifesaving Kidney Transplant

Tom Brady Helps Lexington Mom Get New Kidney

Tom Brady Helps Lexington Mom Get New Kidney

More in need of organ transplants seek their own donors

More in need of organ transplants seek their own donors

Oahu woman gives priceless Thanksgiving gift

Oahu woman gives priceless Thanksgiving gift

Kidney donor surprises Long Island recipient with visit

Kidney donor surprises Long Island recipient with visit

Tom Brady Continues to do His Part in Saving Lives

Tom Brady Continues to do His Part in Saving Lives

Local family searching for a kidney donor

Local family searching for a kidney donor

Transplant News

Copyright © 2020 All rights reserved.

Navigate Site

  • Privacy Policy
  • Terms and Conditions
  • About Us
  • Contact Us

Follow Us

No Result
View All Result
  • Home
  • Transplant
    • Kidney Transplant
  • Donation
    • Kidney Donation
    • Liver Donation
    • Organ Donation
  • Dialysis
  • Donor
    • Kidney Donor
    • Organ Donor
  • Videos
  • Editor’s Pick

Copyright © 2020 All rights reserved.