| Management of severe hyperkalemia without hemodialysis: case report and literature review. | |
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MedLine Citation:
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PMID: 17175417 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report a case of severe hyperkalemia successfully managed without the use of hemodialysis and to provide a review of the literature regarding the management of severe hyperkalemia. METHODS: A clinical case report from the medical-surgical intensive care unit of a teaching hospital and a literature review are presented. The case involves a 59-year old man with diabetes mellitus, essential hypertension, and gout, who presented to hospital with severe hyperkalemia (K(+) = 10.4 mEq/L) and normal renal function. He was treated with intravenous fluids, sodium bicarbonate, calcium chloride, insulin, calcium resonium, and furosemide. RESULTS: The hyperkalemia resolved with conservative treatment within 8 hours, and dialytic therapy was not required. The literature review supported an initial conservative management approach in stable patients with intact renal function. CONCLUSIONS: Hemodialysis is not necessary for all cases of severe hyperkalemia and should be reserved for patients with acute or chronic renal failure or those with life-threatening hyperkalemia unresponsive to more conservative measures. |
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Authors:
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Virginia Carvalhana; Lisa Burry; Stephen E Lapinsky |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of critical care Volume: 21 ISSN: 0883-9441 ISO Abbreviation: J Crit Care Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-12-18 Completed Date: 2007-03-13 Revised Date: 2008-12-11 |
Medline Journal Info:
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Nlm Unique ID: 8610642 Medline TA: J Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 316-21 Citation Subset: IM |
Affiliation:
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Department of Pharmacy, Mount Sinai Hospital, Toronto, ON, Canada M5G 1X5. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bradycardia
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etiology Electrocardiography Fluid Therapy / methods* Humans Hyperkalemia / complications, therapy* Male Middle Aged Renal Dialysis Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Crit Care. 2008 Sep;23(3):431-3
[PMID:
18725051
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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