Intra-dialytic serum potassium changes among patients on maintenance hemodialysis thrice weekly

Authors

  • Umaar Azhar Sir Ganga Ram Hospital, Lahore, Pakistan
  • Shahid Anwar Sir Ganga Ram Hospital, Lahore, Pakistan
  • Sajad Ahmad Fatima Jinnah Medical university, Lahore, Pakistan
  • Hafiz Tahir Usman Sahara Medical college, Narowal, Pakistan
  • Adeela Alam Mubarak Medical Complex, Sargodha, Pakistan
  • Shehran Bilal Sir Ganga Ram Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.61581/mjsp.v6i3.363

Keywords:

Serum potassium , Intradiallytic, Hemodialysis, Thrice weekly

Abstract

Objective: To determine the mean change in serum potassium levels before and after the maintenance haemodialysis session.

Methodology: A Quasi experimental study. Department of Nephrology,Sir Ganga Ram Hospital Lahore from 23-01-2025 to 22-04-2025. Total 110 patients were selected according to inclusion criteria. Age, gender, height, weight and comorbids were documented Serum potassium levels of MHD patients were checked before and just after the end of haemodialysis. The duration of dialysis was documented. 

Results: Mean duration of dialysis was 3.93 hours. Mean change in the potassium levels was 1.54±0.23 mmol/L. Mean change in potassium was compared between the groups based on age, BMI, gender and comorbs stratification, however, no statistically significant difference was observed (p>0.05). Paired t-test was applied for pre- and post-dialysis and the change was statistically significant (p<0.001).

Conclusion: Maintenance hemodialysis session of 4 hours can significantly reduce serum potassium levels and subsequently reducing the risk of arrythmias due to hyperkalemia in ESRD patients.

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Published

30-09-2025

How to Cite

1.
Azhar U, Anwar S, Sajad Ahmad SA, Usman HT, Alam A, Bilal S. Intra-dialytic serum potassium changes among patients on maintenance hemodialysis thrice weekly. Med J South Punjab [Internet]. 2025 Sep. 30 [cited 2025 Nov. 6];6(3):66-70. Available from: https://www.medteach.org/index.php/mjsp/article/view/363