What is the risk of alkali therapy for type 2 renal tubular acidosis (RTA)?

Updated: Oct 10, 2018
  • Author: Christie P Thomas, MBBS, FRCP, FASN, FAHA; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Patients with type 2 RTA typically have hypokalemia and increased urinary K+ wasting. Administration of alkali in those patients leads to more HCO3- wasting and can worsen hypokalemia unless K+ is replaced simultaneously.


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