Standardising dialysate potassium does not increase patient risk

Abeleda, Kristoffer L, Bennett, Paul N and Ockerby, Cherene 2013, Standardising dialysate potassium does not increase patient risk, Journal of renal care, vol. 39, no. 3, pp. 151-156.

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Title Standardising dialysate potassium does not increase patient risk
Author(s) Abeleda, Kristoffer L
Bennett, Paul N
Ockerby, Cherene
Journal name Journal of renal care
Volume number 39
Issue number 3
Start page 151
End page 156
Total pages 6
Publisher Wiley-Blackwell Publishing Ltd
Place of publication Chichester, England
Publication date 2013
ISSN 1755-6678
1755-6686
Keyword(s) dialysate
haemodialysis
hyperkalaemia
potassium
Summary Background:
Rapid intradialytic potassium shifts during haemodialysis have been associated with increased mortality and morbidity. Standardising dialysate potassium to 2 mmol/l may decrease the potassium shift.

Objective:
To examine the effect of standardising dialysate potassium to 2 mmol/l for all chronic dialysis treatments.
Design:
Pre- and post-intervention comparison of monthly serum potassium.

Participants
:
Ninety-seven individuals, of whom 56 patients could be matched across both data collection periods.

Methods
:
Serum potassium data were categorised based on a target range 3.5–6.0 mmol/l. Overall pre- and postintervention mean scores were compared using a paired samples t-test. Data for patients routinely prescribed dialysate potassium 1 mmol/l pre-intervention (n ¼ 6) underwent paired samples t-test to compare their mean serum potassium pre and post-intervention.

Results
:
There was no statistically significant change in serum potassium post- intervention. The majority of patients remained within the target range, including the subset of patients who had a history of high serum potassium during the pre- intervention period.

Conclusions
:
A standard potassium dialysate of 2 mmol/l may reduce intradialytic serum potassium shifts and may assist in standardising safer work practices.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30055460

Document type: Journal Article
Collection: School of Nursing and Midwifery
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