Related Experiment Video
Updated: Nov 30, 2025
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
4.7K
Electrolyte disorders in stable renal allograft recipients
Georg Beilhack1, Gregor Lindner2, Georg-Christian Funk3
1Department of Nephrology and Dialysis, Medical University Vienna, Austria.
Swiss Medical Weekly
|November 12, 2020
Summary
Electrolyte and acid-base disorders are common in stable kidney transplant recipients, affecting 64% of patients. These imbalances are typically mild and influenced by kidney function and medications.
Area of Science:
- Nephrology
- Transplantation Medicine
- Clinical Chemistry
Background:
- Electrolyte and acid-base disorders are common post-renal transplant.
- Limited data exists on long-term stable allograft function.
- Prevalence and contributing factors in stable patients are not well-defined.
Purpose of the Study:
- To determine the prevalence of electrolyte and acid-base disorders.
- To identify patterns and risk factors in stable renal allograft recipients.
- To analyze contributing factors like renal function and medications.
Main Methods:
- Cross-sectional study design.
- Analysis of 576 renal transplant recipients with stable graft function (serum creatinine <2.0 mg/dl).
- Multivariate logistic regression to identify risk factors.
Main Results:
- 64% of patients (n=576) had at least one disorder.
- Most common: hypomagnesemia (25%), hyperkalemia (12.8%), hypercalcemia (12%).
- Renal function and concomitant medications were significant contributing factors.
Conclusions:
- Electrolyte and acid-base disorders are frequent in stable renal allograft recipients.
- Disorders are generally mild.
- Multiple electrolyte abnormalities can co-occur without a predictable pattern.
Related Concept Videos
01:16Kidney Transplant III: Nursing Management
204
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
204
01:26Kidney Transplant II: Surgical Procedure
175
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
175
01:28Kidney Transplant I: Introduction
181
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
181
01:20Acute Kidney Injury V: Interprofessional Care
151
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
151
01:22Acute Kidney Injury VI: Nursing Management
222
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
222
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
161
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
161