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Doctor insights on: Hyperkalemia

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Dr. James Lin
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Hyperkalemia (Overview)

Hyperkalemia in an elevated potassium level in the blood. It can be mild to severe. The most common causes are kidney disease, Addison's disease, dehydration, and multiple drug therapies. It can occur in crush injuries and rhabdomyolysis (rapid breakdown of muscle) or hemolysis (breakdown of blood cells). Severe hyperkalemia can be fatal and cause the heart to stop beating or become very slow. It is usually treated by resin exchange agents (Kayexalate or others) or dialysis and fluids. Sometimes glucose, Insulin and sodium bicarbonate can be utilized as well in treating hyperkalemia.


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What is a symptom of hyperkalemia?

What is a symptom of hyperkalemia?

High Potassium: This is defined as a serum potassium level above 5.5 meq/l.

The danger is in changing the resting membrane potential of the heart muscle cells, making them more easily excitable. This makes arrhythmias more likely. This is unlikely to happen unless the potassium is > 6.5 meq/l.

The heart may skip beats or transition into a lethal rhythm. ...Read more

Dr. James Lin
1 Doctor shared a insight

Hyperkalemia (Overview)

Hyperkalemia in an elevated potassium level in the blood. It can be mild to severe. The most common causes are kidney disease, Addison's disease, dehydration, and multiple drug therapies. It can occur in crush injuries and rhabdomyolysis (rapid breakdown of muscle) or hemolysis (breakdown of blood cells). Severe hyperkalemia can be fatal and cause the heart to stop beating or become very slow. It is usually treated by resin exchange agents (Kayexalate or others) or dialysis and fluids. Sometimes glucose, Insulin and sodium bicarbonate can be utilized as well in treating hyperkalemia.


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What is the treatment to get potassium up to hyperkalemia besides bananas?

What is the treatment to get potassium up to hyperkalemia besides bananas?

Potassium rich foods: Include bananas as you said, citrus fruits including oj, potatoes, tomato sauce/paste including ketchup, and squash. Medicine will need to be given by your doctor since potassium otc is suboptimal to do the job due to the need for a higher dose and need for blood level frequent check. There are meds and water pills that your doctor can use to boost your potassium level too. ...Read more

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What exactly is hyperkalemia?

Elevated potassium: Hyperkalemia in an elevated potassium level in the blood. It can be severe to mild. Most common causes are kidney disease and Addison's disease (adrenal disease0. It can occur in crush injuries and rhabdomyolysis (rapid breakdown of muscle). Severe hyperkalemia can be fatal and cause the heart to stop beating. It is usually treated by dialysis and fluids, with Insulin and sodium bicarbonate. ...Read more

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Is hyperkalemia dangerous?

Hyperkalemia: Hyperkalemia can be dangerous. It is not just the level that is important, it is how quickly the potassium (k) was raised. Patients with chronic kidney disease can walk around with a k of 5.5 with no problems, as their hearts are used to that k level. Auto accidents can cause acute elevations of k in normal people and they can have some problems by going from a k of 3.8 to 5.1. ...Read more

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Is hyperkalemia dangerous?

Hyperkalemia: Hyperkalemia can be dangerous. It is not just the level that is important, it is how quickly the potassium (k) was raised. Patients with chronic kidney disease can walk around with a k of 5.5 with no problems, as their hearts are used to that k level. Auto accidents can cause acute elevations of k in normal people and they can have some problems by going from a k of 3.8 to 5.1. ...Read more

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What exactly is hyperkalemia?

Elevated potassium: Hyperkalemia in an elevated potassium level in the blood. It can be severe to mild. Most common causes are kidney disease and Addison's disease (adrenal disease0. It can occur in crush injuries and rhabdomyolysis (rapid breakdown of muscle). Severe hyperkalemia can be fatal and cause the heart to stop beating. It is usually treated by dialysis and fluids, with Insulin and sodium bicarbonate. ...Read more

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What is a symptom of hyperkalemia?

High Potassium: This is defined as a serum potassium level above 5.5 meq/l.

The danger is in changing the resting membrane potential of the heart muscle cells, making them more easily excitable. This makes arrhythmias more likely. This is unlikely to happen unless the potassium is > 6.5 meq/l.

The heart may skip beats or transition into a lethal rhythm. ...Read more

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What do you use to treat hyperkalemia?

What do you use to treat hyperkalemia?

See below: Treatment of hyperkalemia involves a series of interventions. The first one is usually administration of ca gluconate IV to stabilize the heart. After this, glucose and Insulin can be administered to shift potassium into cells. Sodium polystyrene sulfate is administered orally or via an enema to bind potassium and remove it from the body. Dialysis is used in the setting of kidney failure. ...Read more

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What are the symptoms of Hyperkalemia?

The symptoms of Hyperkalemia include:: Confusion, Diarrhea, Lethargy, Vomiting, Weakness, Abnormal heart rhythms. ...Read more

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How many types of hyperkalemia are there?

How many types of hyperkalemia are there?

Types of Hyperkalemi: 1. Excessive intake.
2. Excessive release from cells.
3. Ineffective elimination by kidneys.
4.Pseudohyperkalemia during taking blood in the lab.
5. Potassium given during execution by lethal injection. ...Read more

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What are some of the tests for Hyperkalemia?

The tests for Hyperkalemia include:: Basic metabolic panel, Bicarbonate, (sodium bicarbonate) Chloride, Electrocardiogram, Fractional excretion of sodium, Potassium, Urine potassium with creatinine, Urine chloride, Sodium, Aldosterone. ...Read more

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What can be done for hyperkalemia (cause unknown)?

Get a diagnosis: The approach is:
1. Too much in: this is rarely the cause
2. Not enough out: this can happen in patients with unsuspected kidney disease or obstruction
3. Shift: potassium may be moving out of cells due to rupture from chemotherapy, trauma (rhabdomyolysis), or lack of Insulin (solute drag from hyperglycemia)
see an internist or nephrologist for a diagnosis and treatment. ...Read more

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What is the definition or description of: hyperkalemia?

What is the definition or description of: hyperkalemia?

High potassium level: Most labs will define normal as serum potassium of 3.5 to 5.. Some may increase the upper limits to 5.2 but anything above 5.5 is clearly abnormal. ...Read more

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Please explain why someone with hyperkalemia would be given?

Please explain why someone with hyperkalemia would be given?

See below: Treatment of hyperkalemia involves a series of interventions. The first one is usually administration of ca gluconate IV to stabilize the heart. After this, glucose and Insulin can be administered to shift potassium into cells. Sodium polystyrene sulfate is administered orally or via an enema to bind potassium and remove it from the body. Dialysis is used in the setting of kidney failure. ...Read more

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My hyperkalemia leve is 5.6. What types of food should I avoid?

My hyperkalemia leve is 5.6. What types of food should I avoid?

This website: Has a good list of potassium rich foods to limit or avoid:
http://www. Momswhothink. Com/diet-and-nutrition/foods-high-in-potassium. Html

if your kidney function is normal, you shouldn't have a high potassium unless you're on certain meds. For both issues, discuss this with your doctor. ...Read more

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How can glucose help hyperkalemia?

How can glucose help hyperkalemia?

It's the insulin: Insulin shifts potassium from the bloodstream into cells. In order to give this safely to a patient with hyperkalemia, glucose is also given. Otherwise, the serum glucose level may drop too low in the process of the Insulin moving potassium intracellularly. ...Read more

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Is hyperkalemia related to chemotherapy?

Is hyperkalemia related to chemotherapy?

Not necessarily: The start of chemo may cause hyperkalemia in certain cancers (leukemias, lymphoma).
Certain chemo can affect the kidneys causing hyperkalemia. But chemo is not always related to hyperkalemia. ...Read more

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How does rhabdomyolysis cause hyperkalemia?

Cell Bursting: The majority of your potassium resides inside your cells. When rhadomyolosis (destruction of your muscles) occur, then these cells burst. When these cells burst, the all of the potassium is released into your bloodstream. Now you have hyperkalema. ...Read more

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Why asthalin is given to treat hyperkalemia?

Is that so?: I am not aware of asthalin / salbutamol being used for this. Is there perhaps a miscommunication? ...Read more

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How can hyperventilation treat hyperkalemia?

Acid-base: Hyperventilation drives the carbondioxide from the lungs, so you develop respiratory alkalosis which causes hypokalemia (low potassium).If someone has hyperkalemia and hyperventilation, they probably have some other underlying cause like metabolic acidosis which could be due to several reasons like severe diarrhea, kidney failure, infection. These are only few and one should consult nephrologist. ...Read more

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What causes Hyperkalemia in Addison's disease?

What causes Hyperkalemia in Addison's disease?

Distal tubule: In the absence of aldosterone and its like from the adrenal cortex, the proximal tubule has some mechanisms that ordinarily waste sodium and hang onto potassium. This will get you started. ...Read more

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Can a person have both hypernatremia and hyperkalemia?

Possibly yes: Dehydration is the most common cause for both. Also certain medication may play this role. Your physician would have to look the whole picture on why this person developed both. ...Read more

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What kind of people are at an increased risk for hyperkalemia?

What kind of people are at an increased risk for hyperkalemia?

Hyperkalemia: Ones with kidney disease, adrenal gland disease, or medications that cause increase potassium. ...Read more

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Is it possible for hyperkalemia and hypernatremia occur at the same time?

Possibly yes: Dehydration is the most common cause for both. Also certain medication may play this role. Your physician would have to look the whole picture on why this person developed both. ...Read more

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Can hyperkalemia cause bradycardia?

Can hyperkalemia cause bradycardia?

See below: An extremely elevated level of potassium in the blood (hyperkalemia) can cause a slow heart rate (bradycardia) and even cardiac arrest. ...Read more

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What causes hyponatremia and hyperkalemia?

Hyponatremia: The answers to your questions cannot fit in allotted space. For the causes of hyponatremia go to this link:

http://www. Mayoclinic. Org/diseases-conditions/hyponatremia/basics/causes/con-20031445

for the causes of hyperkalemia go to this link:

http://www. Mayoclinic. Org/symptoms/hyperkalemia/basics/causes/sym-20050776

good luck. ...Read more

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Would renal failure result in hypo- or hyperkalemia? Why?

Depends: Many factors contribute to serum potassium levels including residual kidney function, diuretic use, potassium intake, GI potassium loss (i.e. diarrhea), and acid/base status. It is possible to see high or low serum potassium levels in patients with renal failure but hyperkalemia (high potassium) is more commonly observed in patients with advanced renal dysfunction. ...Read more

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Is it normal to get hypokalemia for it to change into hyperkalemia?

Nephrologist: Potassium balance is tightly regulated by the kidneys, so any potassium disorder implies some derangement in potassium handling. It is unusual to have low potassium (hypokalemia) if the food intake is normal and it is unusual to have hyperkalemia (high potassium) if you have normal kidney function. So if you have any of these problems, you must consult nephrologist. ...Read more

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Can hyperkalemia and hypernatremia occur at the same time from IV fluid?

Possibly: Electrolyte abnormalities are common in hospitalized patients and can result from multiple factors. They often result from a patient's underlying condition. Intravenous fluid composition could also play a role. You should discuss with your doctor for specific answers in a specific situation. ...Read more

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What are the effects of hypo and hyperkalemia on an ecg?

What are the effects of hypo and hyperkalemia on an ecg?

Electrical: The concentration of sodium outside and potassium inside cells is important to the resting membrane charge on the cell surface. This has implications specifically for heart muscle cells (arrhythmia).
The potassium concentration has to get below 3mmol/l or greater than 6.0 mmol/l before this would be expected.
Low potassium can also cause regular muscles to feel weak. ...Read more

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Hyperkalemia leads to bradycardia or tachycardia?

Hyperkalemia leads to bradycardia or tachycardia?

Electrolytes: Hyperkalemia can caus several ECG abnormalities. First one may see "peaked t waves". Ventricular ectopic beats (pvc's) as well as tachycardia may develop. If untreated the rate can slow and a "sine wave pattern" which is a wide slow wave form that is a pre-terminal rhythm. Hyper kalmia is a medical emergency that needs to be treated rapidly. ...Read more

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Does hyperkalemia arest the heart at systole?

Does hyperkalemia arest the heart at systole?

Not exactly: Hyperkalemia means high potassium in the blood. Systole is the contraction of the heart and diastole is the relaxation of the heart. The contraction of the heart is dependent on a difference in positive and negative charges across the membrane of the cells. When the potassium level rises too high it interferes with this differences in charge and can prevent the heart from squeezing. ...Read more

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If I had hyperkalemia wouldn't it show peaked t waves throughout entire 12 lead EKG with widened qrs?

Depends: That is with life threatening hyperkalemia. If your case is mild, or chronic, it may not manifest yet with ekg abnormalities. ...Read more

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Have any doctors prescribed a new medication for hyperkalemia called Veltassa? Has it been tolerated OK?

Have any doctors prescribed a new medication for hyperkalemia called Veltassa? Has it been tolerated OK?

You're correct..: This drug was approved in 2015. It was approved as a non-emergency treatment of hyperkalemia. Most common adverse reactions (>2%) are constipation, low magnesium level, diarrhea, nausea, abdominal discomfort and flatulence. Most patients who need this treatment have chronic kidney disease and are under close supervision by their doctors. He/she is in the best position to advise you on this:) ...Read more