February 1983

Profound Hypokalemia in Continuous Ambulatory Peritoneal Dialysis

Author Affiliations

From the Nephrology Research and Training Center, Department of Medicine, University of Alabama, Birmingham, and the Department of Medicine, Veterans Administration Medical Center, Birmingham.

Arch Intern Med. 1983;143(2):377-378. doi:10.1001/archinte.1983.00350020207040

• Symptomatic hypokalemia is not known to complicate continuous ambulatory peritoneal dialysis (CAPD), although this treatment is associated with continuous peritoneal potassium losses. Severe hypokalemia and muscular abnormalities associated with potassium loss developed in a patient undergoing CAPD, illustrating that oral supplementation and/or intraperitoneal potassium administration may be needed to treat patients with chronically poor nutritional intake or increased gastrointestinal potassium losses. Intraperitoneal potassium administration may be indicated in patients who cannot tolerate oral potassium supplements.

(Arch Intern Med 1983;143:377-378)