Discharge Instructions for Hyperkalemia

Hyperkalemia means you have a high level of potassium in your blood. Learn how to care for hyperkalemia at home, including what diet changes to make.

You have been diagnosed with hyperkalemia. This means you have a high level of potassium in your blood. Potassium is important to the function of the nerve and muscle cells. This includes the cells of the heart. But a high level of potassium in the blood causes serious problems. These include abnormal heart rhythms and even a heart attack.

Diet changes

Eat less of these potassium-rich foods:

  • Bananas

  • Apricots, fresh or dried

  • Prunes, dates, and raisins

  • Nectarines

  • Kiwifruit

  • Oranges and orange juice

  • Grapefruit juice

  • Tomatoes, tomato sauce, and tomato juice

  • Spinach

  • Green, leafy vegetables, including salad greens, kale, broccoli, chard, and collards

  • Melons of all kinds

  • Peas

  • Beans

  • Potatoes

  • Sweet potatoes

  • Avocados and guacamole

  • Vegetable juice (homemade or store-bought) and vegetable juice cocktail

  • Fruit juices

  • Nuts, including pistachios, almonds, peanuts, hazelnuts, Brazil nuts, cashews, or mixed nuts

  • "Lite" or reduced-sodium salt, or salt substitutes

Other home care

  • Tell your doctor about all prescription and over-the-counter medicines you take. Also tell them about herbal or dietary supplements you are taking. Certain medicines and supplements can increase potassium levels.

  • Take all medicines exactly as directed.

  • Have your potassium levels checked regularly.

  • Keep all follow-up appointments. Your doctor needs to monitor your condition closely.

  • Learn to take your own pulse. If your pulse is less than 60 beats per minute, greater than 100 beats per minute, or irregular, call your doctor.

Follow-up

Follow up with your doctor as advised.

When to contact your doctor

Contact your doctor right away if you have:

  • A slow, irregular heartbeat.

  • Fatigue.

  • Dizziness.

  • Lightheadedness.

  • Confusion.

  • Weakness.

Call 911

Call 911 if you have:

  • Chest pain.

  • Fainting.

  • Shortness of breath.