Clinical analysis of hyperkalemia in the hemodialysis patients

Objective To analyze hyperkalemia occurring in the hemodialysis patients and emphasizing the impedance of positive management.Methods To discuss the parhogeny and management of hyperkelemia.by analyzing hyperkalemia occurring in 523 hemodialysis patients according to their clinical symptom, plasma electrolyte and ECG. Results The incidence of hyperkalemia occurring in the hemodialysis patients is 2.9% .The signs and symptoms of hyperkalemia include plasma K increasing to 6.0-7.7mmol/L and concomitance of hypanotremia.weakness.arrhythmia and ECG changes (peaked T waves) .Hyperkalemia was cleared away by emergent hemodialysis.Conclusions Hyperkalermia occurring in the hemodialysis patients is most often caused by excessive intake of potassium,acidosis, hypanotremia and inadequate hemodialysis.Management of hyperkalemia consists of continuous monitoring of potassium, eliminating the underlying condition and hemodialysing as soon as possible.