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Beyond Syncopal Episodes: A Complicated Hyperkalemic Emergency Manifesting As Complete Heart Block and Seizure Versus Convulsive Syncope Cascade.
Cureus
July 2023
Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, USA.
We present a case involving an 87-year-old woman who had a hyperkalemic emergency. This condition was further complicated by complete heart block (CHB) and seizure-like activity. This case emphasizes the challenge of differentiating between seizures and convulsive syncope.
View Article and Find Full Text PDFAn electrolyte flip flop - a patient with chronic hyperkalemic acidosis presenting with severe hypokalemic alkalosis.
Heliyon
December 2022
Faculty of Health Sciences, Ben Gurion University, Beer Sheva, Israel.
A 76-year-old man was evaluated in our emergency department (ED) for right toe swelling and pain. His initial ED workup revealed volume overload, uncontrolled hypertension, slow atrial fibrillation, refractory hypokalemia, mixed metabolic alkalosis and respiratory acidosis, with a normal plasma pH, and hypernatremia. His medical chart revealed long standing hyperkalemia and metabolic acidosis, related to his diabetic kidney disease.
View Article and Find Full Text PDFHow High Can You Get: A Case Report of an Unusual Cause of Ascending Paralysis.
Cureus
January 2022
Internal Medicine, Palisades Medical Center, North Bergen, USA.
Secondary hyperkalemic paralysis is a life-threatening manifestation of hyperkalemia seen with a potassium level of 7 or above 7 milliequivalents per liter (Meq/L) in an acute or chronic state. Standard hyperkalemic treatment should be initiated upon diagnosis with emergency dialysis in refractory cases. Here we present the case of a patient with end-stage renal disease (ESRD) compliant with dialysis three times a week.
View Article and Find Full Text PDFDichlorphenamide for Refractory Hyperkalemic Periodic Paralysis.
J Clin Neuromuscul Dis
September 2021
Department of Neurology, University of Missouri Health Care, Columbia, MO.
Mechanisms and management of drug-induced hyperkalemia in kidney transplant patients.
Rev Endocr Metab Disord
December 2021
Department of Medicine, Division of Nephrology, Hypertension and Kidney Transplantation, School of Medicine, University of California, CA, Irvine, Orange, USA.
Hyperkalemia is a common and potentially life-threatening complication following kidney transplantation that can be caused by a composite of factors such as medications, delayed graft function, and possibly potassium intake. Managing hyperkalemia after kidney transplantation is associated with increased morbidity and healthcare costs, and can be a cause of multiple hospital admissions and barriers to patient discharge. Medications used routinely after kidney transplantation are considered the most frequent culprit for post-transplant hyperkalemia in recipients with a well-functioning graft.
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