Hollenberg N K
Harvard Medical School, USA.
Complicat Card Patient. 1987 Spring;1(2):2, 32.
Dietary modification is an inefficient and calorically unwise means of preventing hypokalemia; potassium supplements present compliance problems and are of little or no use in the patient with a concomitant magnesium deficiency. Prescribing potassium-sparing diuretics is the best prevention-oriented choice, but diabetics and older patients must be monitored for signs of hyperkalemia, and it is generally better not to use these agents in patients who are also taking ACE inhibitors.
饮食调整是预防低钾血症低效且热量上不明智的方法;补钾存在依从性问题,且对伴有镁缺乏的患者几乎没有作用或毫无用处。开具保钾利尿剂是最佳的以预防为导向的选择,但糖尿病患者和老年患者必须监测高钾血症的体征,并且对于同时服用ACE抑制剂的患者,通常最好不要使用这些药物。