Classen H G
Magnesium. 1984;3(4-6):257-64.
States of K and Mg deficiency, deprivation or depletion, are difficult to detect by determining serum concentrations, since both cations are concentrated intracellularly. The intestinal absorption of K is rather quick and complete; the uptake of Mg probably comprises two mechanisms and proceeds continuously, although incomplete. The resulting different pharmakokinetic behavior must be kept in mind when K and Mg are supplemented by the oral route. Favorable effects of oral K and Mg supplementation are reviewed, and the fact is stressed that the body cannot retain K, unless the Mg status is adequate. Therefore, K should be supplemented together with Mg. Drugs like amiloride not only spare K, but at the same time prevent renal losses of other important electrolytes, especially of chloride and Mg.
钾和镁缺乏、缺失或耗竭的状态难以通过测定血清浓度来检测,因为这两种阳离子都在细胞内浓缩。钾的肠道吸收相当迅速且完全;镁的摄取可能包括两种机制,并且持续进行,尽管不完全。通过口服途径补充钾和镁时,必须牢记由此产生的不同药代动力学行为。本文综述了口服补充钾和镁的有益效果,并强调了一个事实,即除非镁状态充足,身体无法保留钾。因此,钾应与镁一起补充。像阿米洛利这样的药物不仅能节省钾,同时还能防止其他重要电解质的肾脏丢失,尤其是氯和镁。