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Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed
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-d...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981210/ https://www.ncbi.nlm.nih.gov/pubmed/36874675 http://dx.doi.org/10.7759/cureus.34437 |
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author | Biladeau, Sara Grell, Ryan |
author_facet | Biladeau, Sara Grell, Ryan |
author_sort | Biladeau, Sara |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9981210 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-99812102023-03-03 Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed Biladeau, Sara Grell, Ryan Cureus Anesthesiology 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. Cureus 2023-01-31 /pmc/articles/PMC9981210/ /pubmed/36874675 http://dx.doi.org/10.7759/cureus.34437 Text en Copyright © 2023, Biladeau et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Biladeau, Sara Grell, Ryan Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed |
title | Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed |
title_full | Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed |
title_fullStr | Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed |
title_full_unstemmed | Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed |
title_short | Profound Hyperkalemia and Anemia in a Dialysis Patient With a Gastrointestinal Bleed |
title_sort | profound hyperkalemia and anemia in a dialysis patient with a gastrointestinal bleed |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981210/ https://www.ncbi.nlm.nih.gov/pubmed/36874675 http://dx.doi.org/10.7759/cureus.34437 |
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