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Complications of ESRD : Metabolic acidosis

Complications of ESRD : Metabolic acidosis

In this step, Prof. Chen illustrates the complications of ESRD, especially on metabolic acidosis.

With decreasing reabsorption of bicarbonate and less ammonia production, patients may have metabolic acidosis, which progresses other complications, including hyperkalemia, osteoporosis, bone atrophy, and decreased albumin synthesis.

For the management of metabolic acidosis, the goal is to let bicarbonate become near 20 mmol/L.

When we use potassium citrate as a treatment, we need to understand those issues on the increase of aluminum absorption.

Have you ever dealt with the complications mentioned in this course? We would like to invite you to share your experience below.

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Pharmacokinetics: Drug Dosing in Renal Disease

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