Your browser doesn't support javascript.
loading
Clinical Usefulness of Low Calcium Dialysate in Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients / 대한신장학회잡지
Korean Journal of Nephrology ; : 779-785, 1998.
Artigo em Coreano | WPRIM | ID: wpr-159043
ABSTRACT
Hypercalcemia is a common complication in CAPD patients treated with calcium-containing phosphate binders and using the standard dialysate (SCD) calcium concentration of 3.5mEq/L. We performed a retrospective study in 25 CAPD patients to determine whether a low calcium dialysate (LCD) containing 2.5mEq/L calcium would reduce the incidence of hypercalemia with adequate control of serum inorganic phosphate levels and diminish the need to use aluminum-containing phosphate binders. All patients had previously used SCD before converting to LCD. The incidence of hypercalcemia (more than 2 episodes of corrected serum calcium > or = 10.5mg/dL) tended to be lower after converting to LCDl 0.27 (0-2.76) vs. 0 (0-1.97) episodes/patient-yearl. Intact PTH level increased from 38.8 (0.1-1599.3)pg/mL to 70.6 (9.5-1540.0)pg/mL after conversion, but there was no statistical sifnificance. Serum calcium, inorganic phosphate, alkaline phosphatase and bicarbonate levels did not change after converting to LCD. We were able to reduce aluminum hydroxide dosagel 1.09 (0-10.88) vs. 0 (0-3.26)g/day/patientl and increase calcium carbonate dosage (1.95 0.92 vs. 2.98 2.14g/day/ patient) after conversion significantly (P<0.05). The frequency of peritonitis was similar in LCD and SCD period. In conclusion, low calcium dialysate is useful in diminishing aluminum-containing phosphate binder dosage and increasing calcium carbonate dosage to maintain a similar phosphate value. Its effects on renal osteodystrophy remain to be assessed.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Peritonite / Distúrbio Mineral e Ósseo na Doença Renal Crônica / Carbonato de Cálcio / Cálcio / Incidência / Estudos Retrospectivos / Diálise Peritoneal Ambulatorial Contínua / Fosfatase Alcalina / Hidróxido de Alumínio / Hipercalcemia Tipo de estudo: Estudo de incidência / Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Coreano Revista: Korean Journal of Nephrology Ano de publicação: 1998 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Peritonite / Distúrbio Mineral e Ósseo na Doença Renal Crônica / Carbonato de Cálcio / Cálcio / Incidência / Estudos Retrospectivos / Diálise Peritoneal Ambulatorial Contínua / Fosfatase Alcalina / Hidróxido de Alumínio / Hipercalcemia Tipo de estudo: Estudo de incidência / Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Coreano Revista: Korean Journal of Nephrology Ano de publicação: 1998 Tipo de documento: Artigo