.... Ammonium Hyperkalemia Metabolic acidosis Sodium zirconium cyclosilicate Study design Patients with chronic kidney disease (CKD) often develop metabolic acidosis, largely because of the kidney’s diminished capacity to excrete acid in the form of ammonium (NH 4 + ) [1]. In the Chronic Renal...

... is metabolized to a neutral end-product or is excreted in the urine with H + or ammonium (NH 4 + ). Second, buffering of H + is beneficial if H + are removed by bicarbonate rather than being able to bind to proteins. This latter function depends on having a low tissue PCO 2 , due to a combination...

...Mitchell L. Halperin; Surinder Cheema-Dhadli; Ching-Bun Chen Background: The source of glutamine for renal ammonium production is ultimately dietary protein in the fed state and body proteins in fasting. Objective: Our objective was to determine if less NH + 4 would be excreted by fasted dogs...