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Review
. 2018 Dec;53(4):469-480.
doi: 10.1016/j.cnur.2018.05.004. Epub 2018 Oct 11.

Kidney Influence on Fluid and Electrolyte Balance

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Review

Kidney Influence on Fluid and Electrolyte Balance

Deborah Ellison et al. Nurs Clin North Am. 2018 Dec.

Abstract

The frontline nurse is confronted daily with patients that have some type of kidney dysfunction or disease. Some renal issues resolve themselves, some disorders can be reversed, and others are permanent. Major complications from kidney impairment discussed are fluid and electrolyte disequilibrium with common problems in volume overload, hyperkalemia, metabolic acidosis, hyperphosphatemia, and hormonal secretion. Each problem is presented with potential clinical manifestations and management.

Keywords: Hyperkalemia; Hyperphosphatemia; Metabolic acidosis; Nephron function; Normal kidney function; Volume overload.

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