Hidden Acid Retention with Normal Serum Bicarbonate Level in Chronic Kidney Disease
Electrolyte Blood Press. 2023 Jun;21(1):34-43. doi: 10.5049/EBP.2023.21.1.34. Epub 2023 Jun 27.ABSTRACTManagement of metabolic acidosis is crucial for preserving bone, muscle, and renal health, as evidenced by the results of several interventional studies conducted on patients with chronic kidney disease (CKD). Considering the continuity of CKD progression over time, it is reasonable to deduce that a subclinical form of metabolic acidosis may exist prior to the manifestation of overt metabolic acidosis. Covert H+ retention with normal serum bicarbonate level in patients with CKD may result in maladaptive responses that con...
Source: Electrolyte and Blood Pressure - July 12, 2023 Category: Internal Medicine Authors: Eun Sil Koh Source Type: research

Post-Hypercapnic Alkalosis: A Brief Review
Electrolyte Blood Press. 2023 Jun;21(1):18-23. doi: 10.5049/EBP.2023.21.1.18. Epub 2023 Jun 27.ABSTRACTMetabolic alkalosis is a common acid-base imbalance frequently observed in intensive care unit (ICU) patients and is associated with increased mortality. Post-hypercarbia alkalosis (PHA) is a type of metabolic alkalosis caused by sustained high serum bicarbonate levels following a rapid resolution of hypoventilation in patients with chronic hypercapnia due to prolonged respiratory disturbance. Common causes of chronic hypercapnia include chronic obstructive pulmonary disease (COPD), central nervous system disorders, neuro...
Source: Electrolyte and Blood Pressure - July 12, 2023 Category: Internal Medicine Authors: Yongjin Yi Source Type: research

Erratum: Management for Electrolytes Disturbances during Continuous Renal Replacement Therapy
Electrolyte Blood Press. 2023 Jun;21(1):44. doi: 10.5049/EBP.2023.21.1.44. Epub 2023 Jun 27.ABSTRACT[This corrects the article on p. 64 in vol. 20, PMID: 36688209.].PMID:37434802 | PMC:PMC10329904 | DOI:10.5049/EBP.2023.21.1.44 (Source: Electrolyte and Blood Pressure)
Source: Electrolyte and Blood Pressure - July 12, 2023 Category: Internal Medicine Authors: Song In Baeg Kyungho Lee Junseok Jeon Hye Ryoun Jang Source Type: research

Renal Replacement Therapy For Elderly Patients with ESKD Through Shared Decision-Making
Electrolyte Blood Press. 2023 Jun;21(1):1-7. doi: 10.5049/EBP.2023.21.1.1. Epub 2023 Jun 27.ABSTRACTThe incidence and prevalence of end-stage kidney disease (ESKD) in Korea are increasing, and ESKD constitutes a very important medical and social issue. Elderly dialysis patients have the highest risk of early mortality within 3 months after initiating dialysis, and geriatric syndromes such as aging, frailty, functional impairment, and cognitive impairment are crucial for the prognosis of elderly patients. Shared decision-making (SDM) is an approach through which clinicians and patients can achieve informed preferences, ther...
Source: Electrolyte and Blood Pressure - July 12, 2023 Category: Internal Medicine Authors: Jin Eop Kim Woo Yeong Park Hyunsuk Kim Source Type: research

Understanding and Treatment Strategies of Hypertension and Hyperkalemia in Chronic Kidney Disease
Electrolyte Blood Press. 2023 Jun;21(1):24-33. doi: 10.5049/EBP.2023.21.1.24. Epub 2023 Jun 27.ABSTRACTHypertension and potassium imbalance are commonly observed in chronic kidney disease (CKD) patients. The development of hypertension would be related to several mechanisms. Hypertension is related to body mass index, dietary salt intake, and volume overload and is treated with antihypertensives. In CKD patients, managing hypertension can provide important effects that can slow the progression of CKD or reduce complications associated with reduced glomerular filtration rate. The prevalence of hyperkalemia and hypokalemia i...
Source: Electrolyte and Blood Pressure - July 12, 2023 Category: Internal Medicine Authors: Sang Min Jo Source Type: research