Electrolyte and Acid-Base Disorders in Chronic Kidney Disease and End-Stage Kidney Failure

Tsering Dhondup, Qi Qian

Research output: Contribution to journalReview articlepeer-review

47 Scopus citations


The kidneys play a pivotal role in the regulation of electrolyte and acid-base balance. With progressive loss of kidney function, derangements in electrolytes and acid-base inevitably occur and contribute to poor patient outcomes. As chronic kidney disease (CKD) has become a worldwide epidemic, medical providers are increasingly confronted with such problems. Adequate diagnosis and treatment will minimize complications and can potentially be lifesaving. In this review, we discuss the current understanding of the disease process, clinical presentation, diagnosis and treatment strategies, integrating up-to-date knowledge in the field. Although electrolyte and acid-base derangements are significant causes of morbidity and mortality in CKD and end-stage renal disease patients, they can be effectively managed through a timely institution of combined preventive measures and pharmacological therapy. Exciting advances and several upcoming outcome trials will provide further information to guide treatment and improve patient outcomes.

Original languageEnglish (US)
Pages (from-to)179-188
Number of pages10
JournalBlood Purification
Issue number1-3
StatePublished - Mar 1 2017


  • Acidosis
  • Chronic kidney disease
  • Dyskalemia
  • Dysmagnesemia
  • Dysnatremia
  • End-stage renal disease
  • Mineral bone disorder

ASJC Scopus subject areas

  • Hematology
  • Nephrology


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