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A 22-year-old male asked:

Potassium 3.4 (3.5-5.0) got dysautonomia. low aldosterone low angiotensin ii. need florinef (fludrocortisone) but potassium will be lower. what causing this?

1 doctor answer1 doctor weighed in
Dr. James Cain
Nephrology and Dialysis 36 years experience
Review this again: Aldosterone deficient patients that require fluorinef are almost by definition hyperkalemic. Florinef (fludrocortisone) will make the k lower. The condition you describe (low aldosterone, adrenal insufficiency) comes with high k, non gap acidosis and low blood pressure. The low k does not fit. Perhaps this is a form of barrter's syndrome. Please review with your physician.

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Last updated May 31, 2015

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