Treatment strategies for persistent hyperkalemia

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Treatment strategies for persistent hyperkalemia

What are some treatment strategies in patients who have persistent hyperkalemia, especially in patients who may need to be on medications that cause elevation of potassium as a side effect (example: ACE inhibitors in diabetic kidney disease)?

• Dietary reduction of potassium is beneficial in all patients but may not be enough.

• Review of all medications and supplements to consider stopping agents that can raise serum potassium.

• Increase excretion of potassium in the stool by using potassium binders.

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