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Your patient pulls out a snack during treatment, she takes a bite of a banana and says she eats high potassium food during treatment so it doesn't harm her. You respond by:

a. Advising her to avoid potassium-rich foods entirely
b. Explaining the importance of potassium control during dialysis
c. Allowing her to continue if it doesn't affect her comfort
d. Suggesting she eats more high potassium foods for better health

1 Answer

5 votes

Final answer:

The best response is to explain the importance of potassium control during dialysis due to the risk of hyperkalemia where kidneys cannot efficiently filter potassium. Insulin-dependent diabetics must also carefully monitor their potassium intake. Overall, potassium intake should be personalized, especially for those with renal impairments.

Step-by-step explanation:

In response to the scenario where a patient consumes a high-potassium food such as a banana during treatment, the most appropriate action would be to explain the importance of potassium control during dialysis. It is essential to maintain a balance of sodium and potassium in the body because they are vital electrolytes that regulate various body functions. A typical daily potassium intake should be about 4700 mg. However, the specific needs can vary depending on individual health conditions, such as kidney function. For patients undergoing dialysis, the regulation of potassium is critical because their kidneys are not able to filter out excess potassium efficiently. High levels of potassium, a condition known as hyperkalemia, can lead to serious health issues, including heart arrhythmias. Therefore, while potassium is crucial for cell function and overall health, its intake must be carefully tailored for individuals on dialysis.It is also important to recognize the role of insulin in the management of potassium levels. In insulin-dependent diabetic patients, administration of insulin and uptake of glucose by cells can cause a decrease in blood potassium levels through the redistribution of potassium into cells, affecting neuronal response to stimuli. This dynamic underlines the necessity for monitored potassium intake in such patients.Overall, while potassium is a necessary nutrient, individuals with impaired renal function or those on dialysis must pay special attention to their potassium intake and should consult their healthcare provider for personalized advice.

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