生理学病案分析.docVIP

细胞 1.Hyperkalemia with Muscle Weakness Description of Case. A 48-year-old woman with insulin-dependent diabetes mellitus reports to her physician that she experiencing severe muscle weakness. She is being treated for hypertension with propranolol, aβ-adrenergic blocking agent. Her physician immediately orders blood studies, which reveal a serum [K+] of 6.5 mEq/L (normal, 4.5 mEq/L) and elevated BUN (blood urea nitrogen). The physician tapers off the dosage of propranolol, with eventual discontinuation of the drug. He adjusts her insulin dosage. Within a few days, the patient’s serum [K+] has d