can someone give me a good response to this discussion?

Question can someone give me a good response to this discussion?Hyperkalemia is an elevated level of electrolyte potassium when the serum potassium level exceeds 5.5 mmol/l (Huether, 2020).  Chen et al., (2010) state that “electrolyte abnormalities are present in 3-11% of patients with chronic kidney disease” (p. 8).  The kidney is where the excretion of potassium mainly occurs.  In patients with renal failure, their kidneys are unable to properly excrete electrolytes, specifically potassium. According to Hunter and Bailey (2019) “hyperkalemia occurs when renal potassium excretion is limited by the reduction in glomerular filtration rate, tubular flow, distal sodium delivery or the expression of aldosterone-sensitive ion transporters in the distal nephron” (p. iii2).  Hyperkalemia is manifested by symptoms dependent on the severity of hyperkalemia.  These symptoms can vary and be as mild as restlessness, intestinal cramping, and diarrhea or as moderate as EKG changes, and muscle weakness, loss of muscle tone, and even paralysis, or in severe cases cardiac arrhythmias, and even cardiac arrest (Huether et al., 2020).   When hyperkalemia occurs, treatments include both treating the potassium level and the underlying cause of the hyperkalemia (Huether et al., 2020).  There are effective treatments that can be utilized, such as by maintaining a low-potassium diet, correction of hyperglycemia and acidemia with fluids and insulin administration, considering potassium binders, and by the discontinuation of medications that may be raising the serum potassium (Rosenberg, 2020).  With a patient with renal failure, dialysis is usually indicated for the treatment of hyperkalemia.   Health Science Science Nursing NUR 415 Share QuestionEmailCopy link Comments (0)