TITLE:
Impact of Abnormal Serum Electrolyte Levels and Acid-Base Disorders on Clinical Outcomes among Maintenance Hemodialysis Patients
AUTHORS:
Vricksha Guttee, Yuxin Nie, Yimei Wang, Xiaoqiang Ding
KEYWORDS:
Chronic Kidney Disease, End-Stage Renal Disease, Hemodialysis, Electrolyte, Acid-Base Disorder
JOURNAL NAME:
Open Access Library Journal,
Vol.4 No.5,
May
16,
2017
ABSTRACT: There has been a notable
rise in the number of patients diagnosed with chronic kidney disease (CKD) over
the years across the world, with most cases subsequently leading to end-stage
renal failure. Hemodialysis (HD) remains one of the main treatments for
end-stage renal disease (ESRD) worldwide. Despite improvements in dialysis
care, the mortality of patients with ESRD on maintenance hemodialysis is
persistently high. Abnormal levels of serum electrolytes, pre-and post-dialysis,
and acid-base disorders have a crucial influence on clinical outcomes in HD
patients. In this review, we aim to discuss the different effects that serum electrolyte
levels have on the prognosis of patients on maintenance hemodialysis, particularly
sodium, potassium, magnesium, phosphorus and bicarbonate.