Emergency Diagnosis and Treatment of hypokalemia.docVIP

 PAGE \* MERGEFORMAT 9 Emergency Diagnosis and Treatment of hypokalemia [Abstract] Objective To summarize the clinical diagnosis and treatment of hypokalemia experience. Methods 35 patients in our hospital hypokalemia in 2003-2008 were retrospectively reviewed clinical data. Results 35 patients were cured. Conclusion hypokalemia should be reasonable and potassium, while actively seeking the cause, treatment of primary disease. [Keywords:] hypokalemia, etiology, diagnosis, treatment Hypokalemia is common in clinical work and important electrolyte imbalance, low potassium can cause cardiac arrhythmia, periodic paralysis and other serious consequences, and thus causing many reasons for low potassium, potassium alone may delay treatment, so treatment of low- K hyperlipidemia should be identified at the same time potassium cause low potassium. This article in June 2003 -2008 hypokalemia in December to 35 patients admitted to hospital for diagnosis and treatment were analyzed. 1 Clinical data 1.1 General information on 35 patients 20 males and 15 females, aged 23 to 72 years, mean 42 years. Are admitted to hospital hypokalemia, serum potassium 1.67 ~ 3.42mmol / L, an average of 2.85mmol / L, which mild hypokalemia (3.0 serum K + lt;3.5mmol / L) 11, moderate hypokalemia (2.5 serum K + lt;3.0mmol / L) 15 cases of severe hypokalemia (serum K + lt;2.5mmol / L) 9 . 1.2 quadriplegic clinical manifestations in 2 cases, 11 cases of paralysis of both lower limbs, respiratory muscle paralysis in 2 cases, 15 cases of palpitations, syncope in 3 cases, abdominal distention, constipation in 13 cases, weight loss, sweating, heat intolerance in 10 cases, ECG ST - T 18 cases with u wave changes, ventricular premature in 6 cases, ventricular tachycardia in 4 cases. 1.3 etiological diagnosis found in this group, 10 cases of thyroid T3, T4 increased, TSH decreased, B-ultrasound prompt compliance (hyperthyroidism) changes in hyperthyroidism, diagnosed with hyperthy