We experienced two cases of mannitol-induced hyperkalemia during craniotomy for ruptured aneurysms. Hyperkalemia was first diagnosed by peaked T wave on the ECG. Serum potassium concentration in each patient was approximately 2 mEq/l higher than the baseline value, reaching 6.0 and 5.7 mEq/l, respectively, at 2 hours after completion of infusion of 45 and 30 g mannitol, respectively. Although t...

Heparin may cause hyperkalemia by blocking aldosterone biosynthesis in the adrenal gland. A 68-year-old female patient was diagnosed as deep vein thrombosis and received intravenous catheter direct thrombolysis. The patient suffered hyperkalemia without systemic infection, cardiac or renal failure, adrenal insufficiency, or sudden anemia. The plasma potassium level normalized after heparin chan...

Hyperkalemia is a major electrolyte disturbance with potentially life-threatening consequences. Varying prevalence and causes of hyperkalemia have been reported for study populations. Primary risk factors include renal insufficiency, diabetes mellitus (DM) use certain medication such as angiotensin converting enzyme (ACE) inhibitors. So far, in systemic lupus erythematosus (SLE) not investigate...

A complete Works Cited list begins on page 15. Mention of commercial products does not indicate endorsement. Faculty Carol Whelan, APRN, has been working in nursing education since 2000. She received her Master’s degree in psychiatric/mental health nursing from St. Joseph College in West Hartford, Connecticut, and completed post-graduate nurse practitioner training at Yale University. Ms. Whela...

A 41-year-old man, complaining of leg cramps, was found to have persistent hyperkalemia. Except for mild hypertension, his physical examination and laboratory values to exclude connective tissue diseases and diabetes mellitus were normal. Renal function testing revealed a normal glomerular filtration rate and tubular capacity to acidify and dilute, as well as near-normal ability to concentrate ...

Methylmalonic acidemia (MMA) is a very rare genetic disease of metabolism that progressively leads to neurological and renal sequelae. This report describes an unusual case of a patient with MMA who developed severe hyperkalemia and severe dysrhythmia during anesthesia. A 13-month-old male infant with MMA underwent urgent insertion of a port-a-cath under general anesthesia. A life-threatening a...

Asking the question again: are cation exchange resins effective for the treatment of hyperkalemia? / auth.

Levetiracetam is a commonly used drug in today’s world for long term management of partial as well generalized seizures mainly due its major advantage that has so few and non-threatening side effects[1].In the following case scenario, we show how 70 years old male presented with severe hyperkalemia after no other common culprits were seen, it was thought to be effect therapy levetiracetam disco...