Author: Wang Yan (Beijing Hospital)
The weather is getting warmer and all kinds of fruits are coming, which is a joy. But some people eat too many cherries, but it will cause a “blood case”. What is going on?
1. Kidney friends eat cherries and experience hyperkalemia
This is a true story in Nephrology.
The patient is a 60-year-old man with stage 4 chronic kidney disease, with a blood pressure of 154/61 mmHg and a heart rate of 41 beats per minute at presentation. The patient complains of no discomfort. Doctors suspect hyperkalemia and send the patient to the emergency department for blood tests. Accompanied by a nurse, the patient went to the emergency department.
Blood biochemical report shows: blood potassium 7.7mmol/l, according to doctors, this is the highest blood potassium patient they have ever seen during follow-up! Fortunately, the patient had no accident.
History found that the patient had eaten a lot of cherries, apricots and cherry tomatoes in the past week. Unexpectedly, these fruits with high potassium content and beneficial to healthy people are the murderers that cause the blood potassium to surge in patients with kidney disease.
Image source: Zhanku Hailuo
Summer is the season when all kinds of fruits are on the market, such as cherries, apricots, durians, peaches… all kinds of melons and fruits are colorful and very attractive.
For normal people, this is a lovely season to enjoy delicious food; but for chronic kidney patients, it can only be avoided, and not only fruits, but many other foods can cause blood Potassium is elevated.
We need to know the normal range of serum potassium: 3.5-5.2 mmol/l. When serum potassium is higher than 5.5 mmol/l, it is called hyperkalemia.
In patients with chronic kidney disease, due to the reduced ability of the kidneys to excrete potassium, eating a large amount of high-potassium food may lead to the accumulation of potassium in the body, resulting in hyperkalemia. blood.
2. Symptoms of hyperkalemia
Effects on neuromuscular: In the early stage, it will cause fatigue, numbness and pain in the muscles of the lips and limbs.
Cardiovascular effects: Inhibit myocardial contraction, resulting in arrhythmia, slow heart rate, and in severe cases, ventricular fibrillation and cardiac arrest.
If your blood potassium is high, please follow the doctor’s advice to eat a low-potassium diet or oral potassium-lowering drugs. It is very important to control your diet. Try not to eat foods with high potassium content, and try to choose less potassium content food. Don’t forget to check your blood potassium after taking potassium-lowering drugs.
Three, high potassium food classification table
Potassium is found in almost all foods, but we can’t stop eating for choking. Let’s classify some foods that are high in potassium.
Image source: Zhanku Hailuo
Fruits: bananas, oranges, oranges, cherries, peaches, tomatoes, winter jujubes, apricots, etc.;
Roots and tubers: potatoes, yams, taro, sweet potatoes, etc.;
Vegetables: winter bamboo shoots, kohlrabi, spinach, green garlic, cauliflower, red pepper, green pepper, etc.;
Dried fruits: pistachios, melon seeds, peanuts, cashews, etc.;
Beans: mung beans, red beans, soybeans, black beans, kidney beans, etc.;
Fungi: Morel, Tremella, Mushroom, Hazel Mushroom (dried), Mushroom (dried), Fungus, etc.;
Seafood: seaweed, squid (dried), kelp (dried), etc.;
Soy products: shredded tofu, yuba, etc.;
Staple food: fried dough sticks, whole wheat bread, etc.;
Snacks: plum, chocolate, etc.;
Condiments: chicken essence, tomato sauce;
viscera: pig liver, etc.;
Multigrain: cornmeal;
Chinese herbal medicines (decoctions) are high in potassium, so caution should be exercised if you drink them for a long time.
4. Daily Potassium Limiting Tips for Kidney Friends
Consume less soup: especially vegetable and broth;
No stock or gravy for bibimbap;
Avoid coffee, tea, and sports drinks;
Vegetables can be chopped or sliced with waterSoak for at least half an hour;
Some vegetables can be blanched in boiling water before frying;
Avoid raw vegetables, including cucumbers, tomatoes, etc.;
It is important to eat regularly and quantitatively to avoid overeating and chronic hunger;
Do not consume low-sodium, low-sodium, or unsalted soy sauce.
Image source: Zhanku Hailuo
While enjoying delicious food, all kidney friends should also pay attention to avoiding high-potassium foods to avoid the occurrence of hyperkalemia.
*The content of this article is for the popularization of health knowledge and cannot be used as a specific diagnosis and treatment suggestion, nor can it replace the face-to-face consultation of a licensed physician, and is for reference only.
*The copyright of this article belongs to Tencent Medical Dictionary. Unauthorized reprinting by media is prohibited. Illegal reprinting will be investigated for legal responsibility according to law. Individuals are welcome to forward to the circle of friends.
While enjoying delicious food, all kidney friends should also pay attention to avoiding high-potassium foods to avoid the occurrence of hyperkalemia.
*The content of this article is for the popularization of health knowledge and cannot be used as a specific diagnosis and treatment suggestion, nor can it replace the face-to-face consultation of a licensed physician, and is for reference only.
*The copyright of this article belongs to Tencent Medical Dictionary. Unauthorized reprinting by media is prohibited. Illegal reprinting will be investigated for legal responsibility according to law. Individuals are welcome to forward to the circle of friends.