Rethinking the Dietary Approach to Hyperkalemia Management: Implications for Overall Patient Care in the Community Setting
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Based on the most recent Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines, what is the recommended amount of dietary potassium for patients with CKD stage III through ESRD?
<4 grams
<3 grams
<2 grams
A variable amount depending on serum potassium
All of the following are true about plant-based diets and hyperkalemia EXCEPT:
There are significant data demonstrating a high risk of hyperkalemia with plant-based diets
Roughly 60% of potassium in plant-based foods is absorbed vs 90% in animal-based foods
Restrictive diets are difficult to follow and may affect quality of life
An average of two to four cups a day of fruits and vegetables is an effective substitute for prescription sodium bicarbonate for CKD-related metabolic acidosis
A 57-year-old female with ESRD on dialysis presents with recurrent pre-dialysis hyperkalemia. She is already on a low-potassium bath and has good clearance on dialysis. She doesn’t take any medications that could cause hyperkalemia. She is unable to remember the exact foods she’s eaten recently. She should avoid all of the following EXCEPT:
Sauces
Dried fruit
Juices
All fruits and vegetables
____________ carries a risk of hypomagnesemia:
Patiromer
Sodium zirconium cyclosilicate (SZC)
Sodium polystyrene sulfonate
None of the above
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