1 doctor weighed in:

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 weighed in
Dr. James Cain
Internal Medicine - Nephrology & Dialysis

In brief: 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.

In brief: 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.
Dr. James Cain
Dr. James Cain
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