55 2 2

.
.
hydrochlorothiazide
.
2 3/5
2 (5/5).

.

1.85 / ( 3.5-5.6 /)
, , ,
, .
Urine Na 29 /, Urine K 5.83 /,
Urine Cl 56 /
. osmolarity
TTKG (Transtubular
Potassium Gradient) = (Urine K/ Serum K)/(Urine Osm/Serum Osm)

TTKG > 3
. osmolarity 1

TTKG.

.









.

( ,
, ) (, Epstein-Barr virus,
, ) (
) .

 .





.

50-100
10
.
aldo-sterone aldosterone

aldosterone

3.5-5.6 /
- (pH) 0.1
0.3-1.2

.


3.5 /
( )
.

(
1)
1.
. .
.

(1) aldosterone , renal

tubular acidosis, , (alkalosis), poorly
reabsorp anion.
(2) , , fistula, villous
adenoma.
2.
. (drug induce metabolic alkalosis)



.
. (periodic paralysis).
.

.

,
. , , deep tendon
reflex
.

premature atrial contraction, prolonged QT interval, flat
T wave, Uwave .


1. .
2.

.

1. (intravenous infusion)
- (KCl) 1 . 2 .
- (K2HPO4) 1 . 1
PO4 0.5 mEq. .

(KCl).
2.
2.1 Elixir KCl 10 . 17 1 . 1.7
(KCl )
.
2.2 (potassium citrate)
M. Pot. Cit. 15 . 9 .
Modified Shoh' s solution 1 . 1
2 .
6


1
mEq
3-3.5 mEq/L 100-200
mEq.
< 3 mEq/L 200-400
mEq.

. 40-60 mEq
8
20 mEq 1-2
> 0.5 /./.

 40 /
.

24
2-5

> 40 /


60 /
.

1)

.
2) 100 .


KCl 2 /100 . 5 % D/N/5 .
3) > 40 /

TTKG
.



.