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Life-threatening hyperkalemia in a patient with normal renal function

With media focus on benefits from reducing sodium intake, there is increased popularity of salt substitutes, typically potassium chloride. While viewed by the public as a healthy alternative to standard table salt, less appreciated is the severe risk with certain comorbidities and medications. We re...

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Detalles Bibliográficos
Autores principales: Ayach, Taha, Nappo, Robert W., Paugh-Miller, Jennifer L., Ross, Edward A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389164/
https://www.ncbi.nlm.nih.gov/pubmed/25859350
http://dx.doi.org/10.1093/ckj/sft151
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author Ayach, Taha
Nappo, Robert W.
Paugh-Miller, Jennifer L.
Ross, Edward A.
author_facet Ayach, Taha
Nappo, Robert W.
Paugh-Miller, Jennifer L.
Ross, Edward A.
author_sort Ayach, Taha
collection PubMed
description With media focus on benefits from reducing sodium intake, there is increased popularity of salt substitutes, typically potassium chloride. While viewed by the public as a healthy alternative to standard table salt, less appreciated is the severe risk with certain comorbidities and medications. We report the case of an elderly female with chronically high salt substitute intake, normal renal function, diabetes, hypertension treated with angiotensin-converting enzyme inhibitor and beta blockade, who developed life-threatening hyperkalemia after a minimally invasive outpatient procedure. We describe the pathophysiology of the disruption in potassium homeostasis and emphasize the importance of dietary history and educating high-risk patients to avoid salt substitutes.
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spelling pubmed-43891642015-04-09 Life-threatening hyperkalemia in a patient with normal renal function Ayach, Taha Nappo, Robert W. Paugh-Miller, Jennifer L. Ross, Edward A. Clin Kidney J Original Contributions With media focus on benefits from reducing sodium intake, there is increased popularity of salt substitutes, typically potassium chloride. While viewed by the public as a healthy alternative to standard table salt, less appreciated is the severe risk with certain comorbidities and medications. We report the case of an elderly female with chronically high salt substitute intake, normal renal function, diabetes, hypertension treated with angiotensin-converting enzyme inhibitor and beta blockade, who developed life-threatening hyperkalemia after a minimally invasive outpatient procedure. We describe the pathophysiology of the disruption in potassium homeostasis and emphasize the importance of dietary history and educating high-risk patients to avoid salt substitutes. Oxford University Press 2014-02 2013-12-30 /pmc/articles/PMC4389164/ /pubmed/25859350 http://dx.doi.org/10.1093/ckj/sft151 Text en © The Author 2013. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please email: journals.permissions@oup.com. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Contributions
Ayach, Taha
Nappo, Robert W.
Paugh-Miller, Jennifer L.
Ross, Edward A.
Life-threatening hyperkalemia in a patient with normal renal function
title Life-threatening hyperkalemia in a patient with normal renal function
title_full Life-threatening hyperkalemia in a patient with normal renal function
title_fullStr Life-threatening hyperkalemia in a patient with normal renal function
title_full_unstemmed Life-threatening hyperkalemia in a patient with normal renal function
title_short Life-threatening hyperkalemia in a patient with normal renal function
title_sort life-threatening hyperkalemia in a patient with normal renal function
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389164/
https://www.ncbi.nlm.nih.gov/pubmed/25859350
http://dx.doi.org/10.1093/ckj/sft151
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