Potassium baths- dialysate

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What Members Are Saying (AI-Generated Summary)

Members are discussing the use of different potassium concentrations in dialysis baths to manage serum potassium levels in patients. There is debate over the safety and effectiveness of 0K baths, with some members advocating caution and others reporting their use for patients with high potassium levels. Different clinics and physicians have varying preferences for the potassium concentration in dialysis baths, with some favoring 2K or 3K baths and others avoiding 1K baths altogether. Additionally, members mention the importance of considering other chemicals in the bath, such as sodium, bicarbonate, and glucose, to prevent adverse effects.

Hi everyone,

What exactly is a 0 K , 2 K , 3 K,etc. bath mean for dialysis? The only thing I know is that a 0 K can lower the K+ when its too high, but not sure how.

I work in an acute HemoDialysis setting and our Physician atttending does not allow 0 potassium bath at all period because the risk of death. Instead for severe hyperkalemia patients will recieve dialysis with 2 k . The ICU can give Insulin and D50 to lower the extracellular K and force it back into the cell.

also K exalate

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Are 1K baths going away? My nephrologists wont use them at all on cath pts and only for the first hour for av access regardless of how high the potassium is.

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