Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed.
anesthesia for upper and lower gi
gi anesthesia
hyperkalemia induced ekg changes
massive lower gi bleeding
on dialysis
perioperative anesthesia service
perioperative medicine
preoperative evaluation
severe anemia
severe hyperkalemia
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
accepted:
31
01
2023
entrez:
6
3
2023
pubmed:
7
3
2023
medline:
7
3
2023
Statut:
epublish
Résumé
An 80-year-old male receiving dialysis three times per week presented to the emergency room with general malaise after missing four consecutive dialysis appointments. During his workup, he was noted to have a potassium of 9.1 mmol/L, hemoglobin of 4.1 g/dL, and an electrocardiogram showing a first-degree atrioventricular (AV) block, a right bundle branch block, peaked T waves, and a wide QRS complex. During emergent dialysis and resuscitation, the patient suffered respiratory failure and was intubated. The next morning, he underwent an esophagogastroduodenoscopy (EGD), which found a healing duodenal ulcer. He was extubated the same day and was discharged in stable condition a few days later. This case appears to report the highest observed potassium coupled with significant anemia in a patient not affected by cardiac arrest.
Identifiants
pubmed: 36874675
doi: 10.7759/cureus.34437
pmc: PMC9981210
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e34437Informations de copyright
Copyright © 2023, Biladeau et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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