Drugs | Pros | Cons |
---|---|---|
Fludrocortisone | 1. Effective and quick resolution of hyperkalemia 2. Easy titration of dosing 3. Can be used early post operatively | 1. Can cause/worsen hypertension 2. Can mask underlying renal disease 3. Can worsen edema, heart failure |
Sodium bicarbonate | 1. Can be used safely in CKD 2. Can be used early post operatively | 1. Unfamiliarity with the drug 2. Not much data available regarding dosing regimen |
Loop diuretics | 1. Effective and familiar drug 2. Can be used in hypertensive population | 1. Can worsen kidney disease by dehydration |
Potassium binders | 1. Can be used in CKD 2. Does not interfere with blood pressure | 1. Can cause complications in post-operative and constipated patients |