What is a major treatment goal in type 4 renal tubular acidosis (RTA) and how is it achieved?

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

Because hyperkalemia is central to the etiology of this disorder, [23] a major treatment goal is to lower the serum K+ level. This can be achieved by placing the patient on a low-K+ diet (1 mEq/kg K+/d) and by withdrawal of drugs that can cause hyperkalemia (eg, angiotensin-converting enzyme [ACE] inhibitors, nonsteroidal anti-inflammatory drugs). Loop diuretics can be helpful in reducing serum potassium levels as long as the patient is not hypovolemic.


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