Extreme Hyperkalemia in a Hemodialysis Patient Presenting with Cardiac Arrhythmia

Hyperkalemia is commonly seen in hemodialysis patients and is a potentially life-threatening condition. Serum potassium concentration greater than 10 mEq/L is defined as extreme hyperkalemia. Emergent treatment of hyperkalemia is made with intravenous calcium, insulin-dextrose solutions, diuretics,...

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Bibliographic Details
Published in:Bezmialem science 2019-10, Vol.7 (4), p.345-347
Main Authors: ARTAN, Ayşe Serra, GÜRSU, Meltem, ELÇİOĞLU, Ömer Celal, DELİGÖZ BİLDACI, Yelda, KAZANCIOĞLU, Rümeyza
Format: Article
Language:English
Subjects:
arrhythmia
Conflicts of interest
Consent
extreme hyperkalemia
Fistula
Hemodialysis
Insulin
Laboratories
Patients
Tıp
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Summary:Hyperkalemia is commonly seen in hemodialysis patients and is a potentially life-threatening condition. Serum potassium concentration greater than 10 mEq/L is defined as extreme hyperkalemia. Emergent treatment of hyperkalemia is made with intravenous calcium, insulin-dextrose solutions, diuretics, gastrointestinal cation-exchange resin and dialysis. We present here a 52-year-old chronic hemodialysis patient with extreme hyperkalemia and cardiac arrhythmia. She was treated with emergent hemodialysis. Her abnormal laboratory findings and electrocardiography recovered. Further examinations suggested insufficient hemodialysis treatment as the possible cause of hyperkalemia.
ISSN:2148-2373
2148-2373
DOI:10.14235/bas.galenos.2019.2908