Patient with Hyperkalemia for Surgery: Proceed or Postpone?

Hyperkalemia in the Hypertensive Patient.

PURPOSE OF REVIEW Hyperkalemia develops in a patient with systemic arterial hypertension (HTN) if one or more risk factors are present, namely chronic kidney disease (CKD) (especially severe stage 4-5 CKD), diabetes mellitus (DM), heart failure (HF), or pharmacological therapies that interfere with potassium homeostasis, mainly through renin-angiotensin-aldosterone inhibition (RAASi). Hyperkale...

Hematochezia in a Patient with Renal Failure and Hyperkalemia

68-year-old man with history of hypertension, type 2 diaetes mellitus, coronary artery disease, aortic stenosis and hronic kidney disease. Relevant medications included bisorolol, furosemide, atorvastatin, perindopril/amlodipine, etformin/sitagliptin and aspirin. The patient was admited in the emergency department for acute decompensated eart failure and acute-on-chronic renal failure with hype...

Life-threatening hyperkalemia in a patient with normal renal function

With media focus on benefits from reducing sodium intake, there is increased popularity of salt substitutes, typically potassium chloride. While viewed by the public as a healthy alternative to standard table salt, less appreciated is the severe risk with certain comorbidities and medications. We report the case of an elderly female with chronically high salt substitute intake, normal renal fun...

Atrial Rate And Rhythm Abnormalities In A Patient With Hyperkalemia

A 67 year old man presented with a serum potassium of 7.7 mEq/L and slow atrial flutter with variable A-V block and peaked T waves. Initial treatment for hyperkalemia was followed by an increase in the atrial flutter rate to 300 beats per minute. After hemodialysis the rhythm converted to sinus.

Persistent Severe Hyperkalemia in a Patient with Normal Renal Function