Abstract
Hyperkalemia
is a life-threatening metabolic emergency. Delay in the treatment of
hyperkalemia may lead to life-threatening consequences, even death. In this
article, we presented a case of severe hyperkalemia. A 65-year-old woman was
admitted to Emergency room complaints of dizziness and weakness. She was on
hemodialysis (HD) three times weekly. Her heart rate was 125 per minuteand
blood pressure was 80/60 mmHg. A wide QRS-complex rhythm was seen in
electrocardiography. She was diagnosed as hyperkalemia. Meanwhile she was
waiting for HD; she was treated with sodium bicarbonate, regular insulin, and
salbutamol nebulization. Within 40 minutes, HD was performed. After HD session,
she fully recovered and discharged from the hospital. In conclusion, although
the severity of hyperkalemia is not correlated with ECG findings, in the
presence of ECG findings, it is crucial to be evaluated these findings by
emergent physicians and treated in a timely manner for this potentially
life-threatening condition.
References
- 1. Allon M. Hyperkalemia in end-stage renal disease: mechanisms and management. J Am Soc Nephrol. 1995;6(4):1134-42.
- 2. Desai AS, Swedberg K, McMurray JJ, Granger CB, Yusuf S, Young JB, et al. Incidence and predictors of hyperkalemia in patients with heart failure: an analysis of the CHARM Program. J Am Coll Cardiol. 2007;50(20):1959-66.
- 3. Textor SC, Bravo EL, Fouad FM, Tarazi RC. Hyperkalemia in azotemic patients during angiotensin-converting enzyme inhibition and aldosterone reduction with captopril. Am J Med. 1982;73(5):719-25.
- 4. Mattu A, Brady WJ, Robinson DA. Electrocardiographic manifestations of hyperkalemia. Am J Emerg Med. 2000;18(6):721-9.
- 5. Martinez-Vea A, Bardají A, Garcia C, Oliver JA. Severe hyperkalemia with minimal electrocardiographic manifestations: a report of seven cases. J Electrocardiol. 1999;32(1):45-9.
- 6. Yu AS. Atypical electrocardiographic changes in severe hyperkalemia. Am J Cardiol. 1996;77(10):906-8.
- 7. Ahee P, Crowe AV. The management of hyperkalaemia in the emergency department. J Accid Emerg Med. 2000;17(3):188-91.
- 8. Webster A, Brady W, Morris F. Recognising signs of danger: ECG changes resulting from an abnormal serum potassium concentration. Emerg Med J. 2002;19(1):74-7.
Abstract
References
- 1. Allon M. Hyperkalemia in end-stage renal disease: mechanisms and management. J Am Soc Nephrol. 1995;6(4):1134-42.
- 2. Desai AS, Swedberg K, McMurray JJ, Granger CB, Yusuf S, Young JB, et al. Incidence and predictors of hyperkalemia in patients with heart failure: an analysis of the CHARM Program. J Am Coll Cardiol. 2007;50(20):1959-66.
- 3. Textor SC, Bravo EL, Fouad FM, Tarazi RC. Hyperkalemia in azotemic patients during angiotensin-converting enzyme inhibition and aldosterone reduction with captopril. Am J Med. 1982;73(5):719-25.
- 4. Mattu A, Brady WJ, Robinson DA. Electrocardiographic manifestations of hyperkalemia. Am J Emerg Med. 2000;18(6):721-9.
- 5. Martinez-Vea A, Bardají A, Garcia C, Oliver JA. Severe hyperkalemia with minimal electrocardiographic manifestations: a report of seven cases. J Electrocardiol. 1999;32(1):45-9.
- 6. Yu AS. Atypical electrocardiographic changes in severe hyperkalemia. Am J Cardiol. 1996;77(10):906-8.
- 7. Ahee P, Crowe AV. The management of hyperkalaemia in the emergency department. J Accid Emerg Med. 2000;17(3):188-91.
- 8. Webster A, Brady W, Morris F. Recognising signs of danger: ECG changes resulting from an abnormal serum potassium concentration. Emerg Med J. 2002;19(1):74-7.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 1, 2017 |
| Submission Date | May 23, 2016 |
| Acceptance Date | August 17, 2016 |
| Published in Issue | Year 2017 Volume: 8 Issue: 29 |