| Acute oral potassium overdose: the role of hemodialysis. | |
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MedLine Citation:
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PMID: 20721655 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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INTRODUCTION: Hyperkalemia is a common condition, particularly in the setting of renal dysfunction. Hyperkalemia due to intentional oral potassium overdose is not commonly reported. CASE REPORT: We present a case of acute intentional potassium overdose in a patient with normal renal function resulting in significant hyperkalemia, with a maximum serum potassium concentration of 11 mEq/L. Despite an initial course complicated by various unstable cardiac rhythms, including ventricular tachycardia, ventricular fibrillation, and pulseless electrical activity, the patient was discharged from the hospital neurologically intact. Treatment for hyperkalemia included hemodialysis. DISCUSSION: The role of dialysis in potassium overdose is poorly defined. CONCLUSION: Based on this case and a review of the medical literature, we recommend hemodialysis for cases of potassium overdose with hemodynamic instability and significantly elevated serum potassium concentrations that do not respond promptly to medical therapy. Hemodialysis should also be considered in cases with underlying renal dysfunction. |
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Authors:
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George M Bosse; Melissa A Platt; Stephen D Anderson; Michael W Presley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of medical toxicology : official journal of the American College of Medical Toxicology Volume: 7 ISSN: 1937-6995 ISO Abbreviation: J Med Toxicol Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101284598 Medline TA: J Med Toxicol Country: United States |
Other Details:
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Languages: eng Pagination: 52-6 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, University of Louisville, 530 S. Jackson Street, Louisville, KY, 40202, USA, george.bosse@nortonhealthcare.org. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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