How does chronic kidney disease effect electrolyte imbalance? What about acid-base balance?
As kidneys lose the ability to excrete electrolytes, hyperkalemia, hyperphosphatemia (>5mg/DL), hypermagnesia & hypernatremia result
Hypocalcemia (<8.5mg/dL)results as kidneys are unable to activate vitamin D needed for calclium absorption. Bones suffer from osteoporosis as they try to make up for the deficit
Acid-Base balance is disturbed as the kidneys cannot excrete hydrogen ions, leading to metabolic acidosis. Body tries to compensate by kussmaul resps