關於 hyperkalemia symptoms ，我們在網路上蒐集到這些相關的討論、資訊與評價

幫大家複習一下

病人需要做緊急透析的情況為

#AEIOU

A – Acidosis – metabolic acidosis with a pH <7.1

E – Electrolytes – refractory hyperkalemia with a serum potassium >6.5 mEq/L or rapidly rising potassium levels

I – Intoxications – use the mnemonic
#SLIME to remember the drugs and toxins that can be removed with dialysis:
salicylates
lithium
isopropanol
methanol
ethylene glycol

O – Overload – volume overload refractory to diuresis

U – Uremia – elevated BUN with signs or symptoms of uremia, including pericarditis, neuropathy, uremic bleeding, or an otherwise unexplained decline in mental status (uremic encephalopathy)

適合洗腎一週兩次的狀況...

【 血液透析，我適合一週洗兩次嗎？】

下列每一點看起來都不算太難，
但要都符合的話，可不簡單。
整體來說條件相當嚴格。

如果都符合，且開始透析未滿一年，可以考慮找您的腎臟科醫師討論是否適合一週透析兩次。

以下的白話翻譯詳見照片！
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1. Urine output >0.5 liters/day
2. Interdialytic weight gain <2.5 kg (or <5% of dry weight) at intervals of 3–4 days
3. Limited or readily manageable cardiovascular or pulmonary symptoms without clinically significant fluid overload
4. Appropriate body size relative to RKF
5. Infrequent or readily manageable hyperkalemia (K >5.5 mEq/l)
6. Infrequent or readily manageable hyperphosphatemia (P >5.5 mg/dl)
7. Good nutritional status without overt hypercatabolic state
8. Appropriate responsiveness to anemia therapy with Hb >8 g/dl
9. Limited or easily manageable comorbid conditions
10. Satisfactory health-related quality of life

參考資料：
1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145868/ ( NDT, 2014 )
2. https://www.karger.com/Article/Fulltext/441577 ( Blood Purification, 2015 )