The influence of diabetes and insulin on the fluctuation of serum potassium of maintenance hemodialysis patients and nursing experience
10.3760/cma.j.issn.1672-7088.2014.06.008
- VernacularTitle:糖尿病及胰岛素应用对维持性血液透析患者血钾水平的影响
- Author:
Yong XIAO
;
Zhu XIN
;
Ying LIU
;
Ping LI
- Publication Type:Journal Article
- Keywords:
Diabetes;
Insulin;
Maintenance hemodialysis
- From:
Chinese Journal of Practical Nursing
2014;30(6):29-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the influence of diabetes mellitus or insulin on fluctuations of serum potassium in patients with maintenance hemodialysis.Methods 52 cases of hemodialysis patients,including 30 non-diabetes patients,11 patients with diabetes but not using insulin,11 diabetes patients using insulin.At the time of 0,24,48 h during dialysis,we collected serum samples from the 52 patients,serum potassium was compared among the three groups.Results On 0,24,48 h,serum potassium level of the diabetes but not using insulin group had no significant difference with the non-diabetes group.While in diabetes using insulin group,serum potassium level was lower compared with the non-diabetes group or diabetes not using insulin group.Conclusions Diabetes itself had no effect on serum potassium fluctuations of maintenance hemodialysis (MHD) patients,however,insulin can reduce the pre-dialysis serum potassium levels of MHD patients.