ما هو العلاج الخط الأول للحماض الأنبوبي الكلوي القريب؟

DOI: 10.6084/m9.figshare.13286027

• In patients with metabolic acidosis, the dietary acid load can be decreased by limiting acid-producing foods (e.g., animal protein) and increasing alkali-producing foods (e.g., fruits and vegetables).
• Treatment of proximal RTA is often challenging and patients require larger quantities of alkali therapy, which are usually administered as a K⁺ salt (e.g., K-citrate) to avoid worsening hypokalemia.
• As exogenous alkali is rapidly excreted in the urine, correction of acidosis is often impossible despite administration of large amounts of alkali therapy.