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1000 Titel
  • Surprising Hyperkalemia of 10.2 mmol/L in a Patient with Hyperglycemia: A Case Report
1000 Autor/in
  1. Czogalla, Jan |
  2. Tariparast, Pischtaz Adel |
  3. Huber, Tobias B. |
  4. Janneck, Matthias |
  5. Grahammer, Florian |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-02-25
1000 Erschienen in
1000 Quellenangabe
  • 11(1):69-77
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1159/000512590 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991282/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Hyperkalemia is a life-threatening condition potentially leading to cardiac arrest. Here, we report a case of surprising severe hyperkalemia of 10.2 mmol/L in a diabetic patient with previously normal kidney function presenting without discernible clinical symptoms to our emergency department. The patient was admitted because of hyperglycemia of 32.8 mmol/L, which was detected during daily testing in her nursing home. The hyperkalemia was caused by prerenal failure due to hyperglycemic polyuria which led to volume depletion, and worsened by a combination of potassium-sparing drugs and potassium supplementation. The patient was treated conservatively. Eighteen hours later, the serum potassium concentration was 4.6 mmol/L. The patient could be released 6 days later. To our knowledge, this is the highest described hyperkalemia treated conservatively and survived without cardiopulmonary resuscitation.
1000 Sacherschließung
lokal Single Case
lokal Diabetes mellitus
lokal Hyperglycemia
lokal Hyperkalemia
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