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Long‐Term Enteral Nutrition: Flexible Management of Hyperkalemia
Author(s) -
Hampton Lisa D.,
Heizer William D.,
Holcombe Beverly J.
Publication year - 1997
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/088453369701200505
Subject(s) - hyperkalemia , medicine , potassium , enteral administration , parenteral nutrition , sodium , magnesium , electrolyte , anesthesia , chemistry , organic chemistry , electrode
Management of hyperkalemia in patients receiving enteral tube feeding is often challenging, particularly in the presence of chronic organ dysfunction. We present a case report describing successful reduction of serum potassium concentration with a tube feeding regimen involving nocturnal infusion of a mixture of Deliver 2.0 (Mead Johnson Nutritionals, Evansville, IN) and sodium polystyrene sulfonate (SPS) powder. The patient described in this report has maintained acceptable serum potassium concentrations without significant alteration of other serum electrolyte parameters. Subsequent in vitro evaluation of Nutren 1.0/SPS (Clintec Nutrition Co, Deerfield, IL) and Deliver 2.0/SPS admixtures revealed that SPS in a concentration of 15 g/L produces a nearly 50% reduction in the potassium content of these enteral feeding formulations. A 30‐g/L SPS concentration reduces potassium content by almost two thirds. This decrease in potassium content is accompanied by a reduction in magnesium content and an increase in sodium content.