Dyselectrolytemia-management and implications in hemodialysis (Review).

Autor:	Timofte D; Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania., Tanasescu MD; Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Nephrology, Emergency University Hospital, 050098 Bucharest, Romania., Balcangiu-Stroescu AE; Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.; Discipline of Physiology, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania., Balan DG; Discipline of Physiology, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania., Tulin A; Department of Anatomy, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of General Surgery, 'Prof. Dr. Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Stiru O; Department of Cardiovascular Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Cardiovascular Surgery, 'Prof. Dr. C.C. Iliescu' Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania., Vacaroiu IA; Department of Nephrology and Dialysis, St. Ioan Emergency Clinical Hospital, 042122 Bucharest, Romania.; Department of Nephrology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania., Mihai A; Discipline of Diabetes, 'Prof. N. Paulescu' National Institute of Diabetes, Nutrition and Metabolic Diseases, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Second Department of Diabetes, 'Prof. N. Paulescu' National Institute of Diabetes, Nutrition and Metabolic Diseases, 020474 Bucharest, Romania., Constantin PC; Department of Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Surgery, Emergency University Hospital, 050098 Bucharest, Romania., Cosconel CI; Discipline of Foreign Languages, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania., Enyedi M; Department of Anatomy, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Radiology, 'Victor Babes' Private Medical Clinic, 030303 Bucharest, Romania., Miricescu D; Discipline of Biochemistry, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania., Ionescu D; Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Nephrology, Emergency University Hospital, 050098 Bucharest, Romania.
Jazyk:	angličtina
Zdroj:	Experimental and therapeutic medicine [Exp Ther Med] 2021 Jan; Vol. 21 (1), pp. 102. Date of Electronic Publication: 2020 Nov 26.
DOI:	10.3892/etm.2020.9534
Abstrakt:	Hemodialysis is a method for the renal replacement therapy followed by series of acute and chronic complications. Dyselectrolytemia appears in patients undergoing dialysis through mechanisms related to the chronic kidney disease and/or to the dialysis therapy and for this group of patients it is associated with an increase of morbidity and mortality. The dialysate has a standard composition, which can be modified according to the patient's characteristics. During hemodialysis patients are exposed to 18,000-36.000 litres of water/year, and the water purity along with the biochemical composition of the dialysate are essential. The individualization of the dialysis prescription is recommended for each patient and it has an important role in preventing the occurrence of dyselectrolyemia. The individualization of the treatment prescription according to the blood constants of each patient is the prerogative of the nephrologist and the association of the electrolyte imbalances with the patients cardiovascular mortality explains the importance of paying special attention to them. (Copyright: © Timofte et al.)
Databáze:	MEDLINE
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