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  1. dr ashraf
  2. General Nephrology Questions
  3. Wednesday, 11 September 2013
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my pt has ESRD . hyperkalemia improves post dialysis but if dialysis not done pt complain from hypoxia ... i ask about what is the relation between hyperkalemia and hypoxia . many thanks
Responses (3)
Accepted Answer Pending Moderation
Can you clarify this further?

By hypoxic, do you mean the patient is short of breath?

How do you know the patient is hyperkalemic when missing dialysis? Could s/he not be simply volume overloaded?

I suppose if one was hyperkalemic and it precipitated and arrhythmia leading to heart failure, then I suppose s/he might complain of shortness of breath. But we would require more information to determine this further.

Dr. Jordan Weinstein
  1. more than a month ago
  2. General Nephrology Questions
  3. # 1
Accepted Answer Pending Moderation
I notice my pt po2 is 87% with hyperkalemia and after dialysis po2 became 94 %
  1. more than a month ago
  2. General Nephrology Questions
  3. # 2
Accepted Answer Pending Moderation
Hello,

An obvious question but are you removing fluid on dialysis? This would be the most likely reason for improvement, that is improvement in pulmonary edema.

Jordan
  1. more than a month ago
  2. General Nephrology Questions
  3. # 3
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