Atypical electrolyte kinetics during an emergency dialysis session in a patient with Leriche syndrome

Autor: S, Koball, H, Hickstein, A, Führer, T, Heller, J, Stange, S, Mitzner
Rok vydání: 2010
Předmět:
Zdroj: Clinical nephrology. 74(6)
ISSN: 0301-0430
Popis: A hemodialysis patient suffered from circulation failure due to a low output syndrome caused by a hyperkalemia (9.9 micromol/l) with typical ecg signs. An emergency hemodialysis was started. After 2 h ecg signs of hypokalemia (2.1 micromol/l) were detectable. Hemodialysis was stopped. 2 h later, serum potassium rose to 6.2 micromol/l. An obturation of the aorta and the inferior caval vein with perfusion through collateral vessels of the lower body side was obvious, resulting into a faster electrolyte correction in the upper and a delayed correction in the lower body side with a rebound in the upper compartment. Dialysis time and dialysate potassium (4.0 micromol/l) were increased. Furthermore no potassium problems occurred.
Databáze: OpenAIRE