Severe Hyperkalemia without Typical Electrocardiographic Manifestations: A case report / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 42-46, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-644014
ABSTRACT
Severe hyperkalemia can induce life threatening cardiac rhythm disturbances, and usually produce classic electrocardiographic (EKG) manifestations. We report a case of severe hyperkalemia in which the EKG did not reveal the expected alterations. The patient was a 57-year-old man with adenocarcinoma of stomach. There were no significant abnormal findings in laboratory analysis, chest X-ray and EKG. His preoperative medications for hypertension consisted of furosemide, amiloride and enalapril. The tests for serum potassium concentration ([K ]) were performed on 20 and 7 days before the operation and the results were 4.5 and 4.9 mEq/l, respectively. Just after induction of anesthesia, we tried the blood gas and electrolyte analysis and the result revealed high [K ] of 8.5 mEq/l, but EKG did not show typical phenotype of hyperkalemia at that time. His intraoperative and postoperative courses were not eventful.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fenótipo
/
Potássio
/
Estômago
/
Tórax
/
Enalapril
/
Adenocarcinoma
/
Eletrocardiografia
/
Furosemida
/
Amilorida
/
Hiperpotassemia
Limite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
1999
Tipo de documento:
Artigo
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