That article is a bunch of bull...we use Kexelate all the time and it does bring the potassiums down. I’ve never seen
bowel injury with it though you have to watch for potential bowel obstruction BEFORE you give it. It sounds like the same sort of thinking that went into telling women that didn’t have to mammograms yearly before the age of 50. Somebody is looking to save money by killing off the sick...sooner!
Looking at the googled resume’s, the authors are all nephrologists involved with running Rochester General’s Dilalysis clinic. Bernstein also appears to run the hospital residency program. Dialysis is a big business.
The question is control of potassium over long term verses emergency treatment. We’ll give kaxelate to patients in our ICU with other measures , and generally without other complications we’ll see a reduction in the potassium levels. People with longer term problems may need other treatments such as DIALYSYS as kaxelate was always meant for shorter term treatments. People with hyperkalemia issues are most likely in kidney failure and will need perotoneal or hemo dialysis over the long term. Some folks in hyperglycemic keto acidosis respond to fluids and insulin drips and as the sugar and acidosis declines, the potassium levels decline naturally.(no resins needed)