Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestations

Hyperkalemia can present with a spectrum of clinical manifestations with progressive EKG changes and life-threatening arrhythmias. Although no formal guidelines exist as to when to initiate treatment for hyperkalemia, it is generally recommended in clinically symptomatic patients with or without EKG...

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Main Authors: Paras Karmacharya, Dilli Ram Poudel, Ranjan Pathak, Andrew Rettew, Richard Alweis
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2015-06-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://www.jchimp.net/index.php/jchimp/article/view/27993/pdf_63
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author Paras Karmacharya
Dilli Ram Poudel
Ranjan Pathak
Andrew Rettew
Richard Alweis
author_facet Paras Karmacharya
Dilli Ram Poudel
Ranjan Pathak
Andrew Rettew
Richard Alweis
author_sort Paras Karmacharya
collection DOAJ
description Hyperkalemia can present with a spectrum of clinical manifestations with progressive EKG changes and life-threatening arrhythmias. Although no formal guidelines exist as to when to initiate treatment for hyperkalemia, it is generally recommended in clinically symptomatic patients with or without EKG changes. Timely diagnosis and reversal can relieve symptoms and prevent life-threatening arrhythmias. We review the EKG changes associated with hyperkalemia and management principles along with an example of a case of severe hyperkalemia resulting in arrhythmia and flaccid paralysis.
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spelling doaj.art-141fe28a03dd47c6a6ecfaeebfc6f0042023-01-03T06:16:05ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662015-06-01501410.3402/jchimp.v5.2799327993Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestationsParas Karmacharya0Dilli Ram Poudel1Ranjan Pathak2Andrew Rettew3Richard Alweis4Department of Internal Medicine, Reading Health System, West Reading, PA, USADepartment of Internal Medicine, Reading Health System, West Reading, PA, USADepartment of Internal Medicine, Reading Health System, West Reading, PA, USADepartment of Internal Medicine, Reading Health System, West Reading, PA, USADepartment of Internal Medicine, Reading Health System, West Reading, PA, USAHyperkalemia can present with a spectrum of clinical manifestations with progressive EKG changes and life-threatening arrhythmias. Although no formal guidelines exist as to when to initiate treatment for hyperkalemia, it is generally recommended in clinically symptomatic patients with or without EKG changes. Timely diagnosis and reversal can relieve symptoms and prevent life-threatening arrhythmias. We review the EKG changes associated with hyperkalemia and management principles along with an example of a case of severe hyperkalemia resulting in arrhythmia and flaccid paralysis.http://www.jchimp.net/index.php/jchimp/article/view/27993/pdf_63hyperkalemiaarrhythmiaparalysis
spellingShingle Paras Karmacharya
Dilli Ram Poudel
Ranjan Pathak
Andrew Rettew
Richard Alweis
Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestations
Journal of Community Hospital Internal Medicine Perspectives
hyperkalemia
arrhythmia
paralysis
title Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestations
title_full Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestations
title_fullStr Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestations
title_full_unstemmed Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestations
title_short Acute hyperkalemia leading to flaccid paralysis: a review of hyperkalemic manifestations
title_sort acute hyperkalemia leading to flaccid paralysis a review of hyperkalemic manifestations
topic hyperkalemia
arrhythmia
paralysis
url http://www.jchimp.net/index.php/jchimp/article/view/27993/pdf_63
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