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Volume 339:1790-1791 December 10, 1998 Number 24
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Hyperkalemia Due to a Potassium-Based Water Softener

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To the Editor: People with renal failure must reduce their dietary potassium intake. It is important to recognize that a water softener may be an important source of dietary potassium.

A 78-year-old man with diabetes and hypertension was referred because of acute renal failure (serum creatinine, 3.2 mg per deciliter) and hyperkalemia (potassium, 6.3 mmol per liter) due to obstructive uropathy. His medications included 40 mg of furosemide (Lasix) twice daily, 20 mg of lisinopril (Prinivil) twice daily, and 250 mg of chlorpropamide (Diabinese) per day. A Foley catheter was placed, the lisinopril was discontinued, and three doses of sodium . . . [Full Text of this Article]




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