| Atypical electrolyte kinetics during an emergency dialysis session in a patient with Leriche syndrome. | |
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MedLine Citation:
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PMID: 21084051 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A hemodialysis patient suffered from circulation failure due to a low output syndrome caused by a hyperkalemia (9.9 micromol/l) with typical ecg signs. An emergency hemodialysis was started. After 2 h ecg signs of hypokalemia (2.1 micromol/l) were detectable. Hemodialysis was stopped. 2 h later, serum potassium rose to 6.2 micromol/l. An obturation of the aorta and the inferior caval vein with perfusion through collateral vessels of the lower body side was obvious, resulting into a faster electrolyte correction in the upper and a delayed correction in the lower body side with a rebound in the upper compartment. Dialysis time and dialysate potassium (4.0 micromol/l) were increased. Furthermore no potassium problems occurred. |
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Authors:
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S Koball; H Hickstein; A Führer; T Heller; J Stange; S Mitzner |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical nephrology Volume: 74 ISSN: 0301-0430 ISO Abbreviation: Clin. Nephrol. Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-18 Completed Date: 2011-01-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0364441 Medline TA: Clin Nephrol Country: Germany |
Other Details:
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Languages: eng Pagination: 471-3 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine and Nephrology, University of Rostock, Rostock, Germany. Sebastian.koball@medizin.uni-rostock.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aortography
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methods Electrocardiography Emergency Treatment Humans Hyperkalemia / blood, etiology* Hypokalemia / blood, etiology Kinetics Leriche Syndrome / blood, complications*, radiography Male Middle Aged Potassium / blood* Renal Dialysis / adverse effects* Tomography, X-Ray Computed Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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7440-09-7/Potassium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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