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Text
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Pages
564–573
Issue
3
Volume
36
Dublin Core
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Title
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Hyperkalemia: how to identify – and correct – the underlying cause... second of two articles.
Publisher
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Consultant (00107069)
Date
A point or period of time associated with an event in the lifecycle of the resource
1996
1996-03
Subject
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Adult; Female; Dialysis; Male; Outpatients; Electrocardiography; Middle Age; Diagnosis; Differential; Laboratory; Insulin – Administration and Dosage; Adrenergic Beta-Agonists – Administration and Dosage; Calcium – Administration and Dosage; Cation Exchange Resins – Administration and Dosage; Diuretics – Administration and Dosage; Hyperkalemia – Diagnosis; Hyperkalemia – Drug Therapy; Hyperkalemia – Etiology; Potassium – Analysis; Sodium Bicarbonate – Administration and Dosage
Creator
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Rutecki G W; Whittier F C
Description
An account of the resource
Precipitants of hyperkalemia include diabetes, certain medications (eg, NSAIDs, ACE inhibitors), tissue injury, and hormonal abnormalities. Hyperkalemia alters the extracellular to intracellular potassium gradient, which decreases the resting membrane potential and may cause flaccid muscle paralysis and cardiac arrhythmias. Use the absolute serum potassium level and an ECG to measure the extent of end-organ dysfunction. ECG abnormalities include tall peaked T waves, decreased amplitude and/or absence of P waves, and QRS widening. To manage hyperkalemia, start with a membrane stabilizer (eg, IV calcium gluconate; also give agents (eg, insulin, sodium bicarbonate, or beta-agonists) that shift excess extracellular potassium into cells. To remove potassium altogether, consider diuretics, sodium polystyrene sulfonate, and/or dialysis.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1996
Adrenergic Beta-Agonists – Administration and Dosage
Adult
Calcium – Administration and Dosage
Cation Exchange Resins – Administration and Dosage
Consultant (00107069)
Department of Internal Medicine
Diagnosis
Dialysis
Differential
Diuretics – Administration and Dosage
Electrocardiography
Female
Hyperkalemia – Diagnosis
Hyperkalemia – Drug Therapy
Hyperkalemia – Etiology
Insulin – Administration and Dosage
Laboratory
Male
Middle Age
NEOMED College of Medicine
Outpatients
Potassium – Analysis
Rutecki G W
Sodium Bicarbonate – Administration and Dosage
Whittier F C