III. Hypokalemia
نویسندگان
چکیده
電解質領域はエビデンスレベルの高い領域ではないため，慣習的に対応しないためにも病態生理の把握は重要である．低カリウム（K）血症に関しては病歴に加え，代謝性アルカローシスの有無，尿電解質の解釈，必要に応じてレニン，アルドステロン等のホルモン検査を行い診断する．治療の原則は原疾患の治療であるが，緊急性のある場合は医原性高K血症に気を付けながらK補充も行う．
منابع مشابه
Clinical Manifestations of Hypokalemia
Cardiovascular Abnormal electrocardiogram Predisposition for digitalis toxicity Atrial ventricular arrhythmias Hypertension Neuromuscular Smooth muscle Constipation/ileus Bladder dysfunction Skeletal muscle Weakness/cramps Tetany Paralysis Myalgias/rhabdomyolysis Renal/electrolyte Functional alterations Decreased glomerular filtration rate Decreased renal blood flow Renal concentrating defect I...
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Most causes of hypokalemia are obvious from the clinical picture and the values for plasma electrolytes. In cases with obscure etiology, a pretreatment estimation of urinary potassium and chloride often helps lead the clinician into new and fruitful avenues of clinical investigation. Here we present four cases of hypokalemia in which the pathogenesis was initially enigmatic but was clarified so...
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Joel T Levis, MD, PhD, FACEP, FAAEM, is a Senior Emergency Medicine Physician at the Santa Clara Medical Center, and Clinical Instructor of Emergency Medicine (Surgery) at Stanford University. He is the Medical Director for the Foothill College Paramedic Program in Los Altos, CA. E-mail: [email protected]. Figure 1. 12-lead ECG from a 21-year-old man with syncope, generalized weakness, and seve...
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Hypokalemia is a common electrolyte disturbance, especially in hospitalized patients. It can have various causes, including endocrine ones. Sometimes, hypokalemia requires urgent medical attention. The aim of this review is to present updated information regarding: (1) the definition and prevalence of hypokalemia, (2) the physiology of potassium homeostasis, (3) the various causes leading to hy...
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ژورنال
عنوان ژورنال: Nihon Naika Gakkai zasshi
سال: 2022
ISSN: ['1883-2083', '0021-5384']
DOI: https://doi.org/10.2169/naika.111.917