Non-dialytic Treatment of Acute Hyperkalemia in the Dialysis Patient


Address Correspondence: Michael Emmett, MD, 3500 Gaston Avenue, Suite H102, Dallas, Texas 75246. E-mail:


Acute hyperkalemia occurs commonly amongst patients with chronic renal failure and is especially common in noncompliant individuals. These patients often present to the emergency room with weakness. This editorial addresses the issue of non-dialytic treatment of hyperkalemia. Is emergency dialysis indicated in every case? In my opinion, acute dialysis can often be delayed until the hospital's dialysis unit opens for “regular working hours.”