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Acute Ascending Muscle Weakness Secondary to Medication-Induced Hyperkalemia
Joint Authors
Kimmons, Lauren A.
Usery, Justin B.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-23
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Secondary hyperkalemic paralysis is an uncommon but potentially life-threatening consequence of drug-induced disease.
We report a case of a 53-year-old female with history of chronic kidney disease presenting to the emergency department with a one-day history of upper and lower extremity weakness and paresthesias.
Serum potassium concentration on admission was greater than 8 mEq/L, and serum creatinine was elevated above baseline.
Electrocardiogram showed first-degree atrioventricular block with peaked T waves.
The patient reported compliance with daily lisinopril 10 mg, spironolactone 25 mg, and 40 mEq twice daily of potassium chloride.
Symptoms and electrocardiogram returned to baseline within 24 hours of presentation and serum potassium returned to 4.2 mEq/L at approximately 36 hours without the need for dialysis.
This case emphasizes the importance of including such a condition in the differential diagnosis of patients with ascending paralysis and the importance of close monitoring of patients placed on potassium-elevating agents.
American Psychological Association (APA)
Kimmons, Lauren A.& Usery, Justin B.. 2014. Acute Ascending Muscle Weakness Secondary to Medication-Induced Hyperkalemia. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-498209
Modern Language Association (MLA)
Kimmons, Lauren A.& Usery, Justin B.. Acute Ascending Muscle Weakness Secondary to Medication-Induced Hyperkalemia. Case Reports in Medicine No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-498209
American Medical Association (AMA)
Kimmons, Lauren A.& Usery, Justin B.. Acute Ascending Muscle Weakness Secondary to Medication-Induced Hyperkalemia. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-498209
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-498209