Infusion reactions induced hypokalemic paralysis in 1 case of peripheral.docVIP

 PAGE \* MERGEFORMAT 3 Infusion reactions induced hypokalemic paralysis in 1 case of peripheral [Keywords:] infusion reactions, peripheral paralysis hypokalemic The performance of a variety of infusion reactions, but the cause of hypokalemic paralysis rarely see around, I have come across in 1 case, are as follows. 1 Case information Patients, female, 38 years old. Because of fever, headache, stuffy nose, limbs, joints acid trapped 4 days to come for treatment. Patient diagnosed: upper respiratory tract infection, then a 5% glucose injection 200ml + Qingkailing injection 40ml, 60 drops / min, intravenous infusion, will stop capsule 2 capsules orally, about 50ml left when the infusion, the patient developed shortness of breath, palpitation, chills. measuring body temperature 40 , blood pressure 110/80mmHg. immediate cessation of infusion, oxygen inhalation, intravenous injection of Dexamethasone 10mg, ice pillow wrap .90 min later, the patient breathing steady, palpitation, chills disappeared .3 h later, the patient can not hold things with both hands, standing difficulties, movement disorder. The patient has no previous health and disease. The doctor did not drink lots of water before, no vomiting , diarrhea, contaminated food and food does not feed cottonseed oil. and no similar family history. Physical examination: T 36 , P 90 times / min, R 18 times / min, BP 110/80mmHg. conscious and unresponsive. body skin rash. eyes the ball is not obvious. thyroid not enlarged. cardiopulmonary abdominal (-. depth of feeling normal. limbs weakened muscle tone, strength 3, tendon reflex, pathological reflex was not elicited. auxiliary examination: Blood WBC 9.0 109 / L, N 0.70, L 0.30, Hb 130g / L. Serum K +2.2 mmol / L, Na +140 mmol / L, Cl-87mmol/L.EKG: T wave decreased, widening, ST segment depression. Brain CT no exception. Supplementary Diagnosis: hypokalemia, peripheral paralysis. hospitalized after an oral controlled release potassium chloride, 5% gluco