On Monday night I was called by one of our fellows regarding a patient in the ED with a potassium of 8.5. They had already given insulin, glucose and kayexalate and the follow-up potassium was 8.1. This is not much improvemnt and less than you typically see. The patient was in acute renal failure with a creatinine of 3 and was anuric.
I asked if the patient had any EKG changes and according to the ER doc the patient had just a touch o’QRS widening. What do you think?
|Peaked symmetric T’s|
Link for more on EKG changes in hyperkalemia
That night his CPK was 5,000. The next day it rose to 341,680.
Now dat’s a spicy meatball!
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