Renal failure: electrolytes
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Renal failure is often complicated by elevations in potassium, phosphate, and magnesium and decreases in sodium and calcium. Additionally, chronic renal failure patients often present with an anion gap metabolic acidosis. Urea, creatinine, uric acid, sulfate, phosphate, phosphorus, lipids, cholesterol, neutral fats, and some amino/organic acids may accumulate, while albumin levels fall
Renal Failure: Electrolytes
- Elevated Electrolytes: potassium, phosphate, and magnesium
- Decreased Electrolytes: sodium, calcium
- Other Increases: urea, creatinine, uric acid, sulfate, phosphate, phosphorus, lipids, cholesterol, neutral fats, and some amino/organic acids
- Other Decreases: albumin
- Acid/Base: anion gap metabolic acidosis
(see also Renal insufficiency: hyperkalemia and Renal Failure)
Sources:
Duerksen DR and Papineau N. Journal of Parenteral and Enteral Nutrition 22: 102, 1998
Miller, RD et al. Miller's Anesthesia, 7th edition, Churchill Livingstone: p 2112. 2009 (ISBN 9780443069598)
