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407 Possible Causes for Altered Mental Status, Hyperkalemia

  • Digitalis Toxicity

    Abstract Cardiac glycoside toxicity is frequently associated with hyperkalemia and dysrhythmias in patients with renal insufficiency.[ncbi.nlm.nih.gov] Mental Status ) Acute Digoxin ingestion 10 mg in adults and 4 mg (or 0.1 mg/kg) in children Chronic Digoxin Toxicity with significant dysrhythmia or Hyperkalemia Dosing One[fpnotebook.com] Her labs revealed digitalis toxicity and hyperkalemia. Actual lab values not available. With digitalis toxicity, hypokalemia and hyperkalemia are possible.[ecgguru.com]

  • Acute Kidney Failure

    Her hyperkalemia and kidney failure resolved after the surgery.[ncbi.nlm.nih.gov] There may be other causes for altered mental status that might be present. Remember to check blood glucose levels and treat as necessary.[ems1.com] Alterations in mental status (lethargy or coma) and bleeding caused by coagulopathy may develop.[medical-dictionary.thefreedictionary.com]

  • Acidosis

    She responded to thiazide diuretics and her BP is well controlled, and acidosis and hyperkalemia are corrected.[ncbi.nlm.nih.gov] In more severe cases it can present with altered mental status, coma, hypotension, hypothermia and respiratory insufficiency.[calpoison.org] When this process is abnormal, it can cause too much potassium to build up in the blood ( hyperkalemia ). This can be a problem for the heart and other organs.[kidshealth.org]

  • Malignant Hyperthermia

    Muscle rigidity, hypercarbia, and hyperkalemia were not observed.[ncbi.nlm.nih.gov] Serotonin toxicity is characterized by a triad of altered mental status, autonomic effects, and neuromuscular excitation.[calpoison.org] […] uncontrolled sarcoplasmic calcium release via functionally altered calcium release receptors, resulting in hypoxemia, hypercapnia, tachycardia, muscular rigidity, acidosis, hyperkalemia[ncbi.nlm.nih.gov]

  • Heat Stroke

    The associated hyperkalemia and metabolic acidosis may lead to an acute renal, cardiac, and hemostatic failure.[ncbi.nlm.nih.gov] Exertional heat stroke was defined as runners with a core temperature measured with a rectal thermometer greater than 102 F and altered mental status.[ncbi.nlm.nih.gov] Laboratory studies with dogs have demonstrated heat stroke-induced sinoatrial node dysfunction in the setting of hyperkalemia.[ncbi.nlm.nih.gov]

  • Arsine Poisoning

    […] signs and symptoms Tachypnea Dyspnea Pulmonary edema Genitourinary signs Hemoglobinuria Oligouria Renal failure Laboratory findings Anemia Elevated bilirubin (indirect) Hyperkalemia[emergency.cdc.gov] Polyneuropathy and alteration in mental status are reported to have followed arsine poisoning after a latency of 1 to 6 months.[sccgov.org] Monitor fluid balance and avoid fluid overload if renal failure supervenes; monitor plasma electrolytes to detect disturbances (particularly hyperkalemia) as early as possible[sccgov.org]

  • Cardiac Arrest

    CONCLUSIONS Our case illustrates that the FFK measurement is helpful for identifying ECD-related hyperkalemia and for providing advance warning of PRCA.[ncbi.nlm.nih.gov] If the tachycardic patient is unstable with severe signs and symptoms related to a suspected arrhythmia (eg, acute altered mental status, ischemic chest discomfort, acute[doi.org] Epinephrine 0.01mg/kg (0.1ml/kg of 1:10,000) every 3-5 minutes throughout the resuscitation Search for and treat reversible causes Hypovolemia Hypoxia Hydrogen ion(acidosis) Hypo/Hyperkalemia[acls.net]

  • Hepatorenal Syndrome

    Hemodialysis may be useful in patients fit for liver transplant who develop problems like metabolic acidosis, volume overload or refractory hyperkalemia (high blood potassium[medindia.net] Most people who develop HRS have cirrhosis, and may have signs and symptoms of the same, which can include jaundice, altered mental status, evidence of decreased nutrition[en.wikipedia.org] Potassium-sparing diuretics should not be given because of the risk of severe hyperkalemia.[easl.eu]

  • Chronic Kidney Insufficiency

    Manage the sequelae of ACRF (hyperkalemia, uremia and volume overload can be life-threatening).[clinicaladvisor.com] Spironolactone Helps HF Patients With CKD, But Ups Hyperkalemia Risk By Jody A.[renalandurologynews.com] Hyperkalemia only develops as a result of hyper-stimulation of the resorption capacity.[lecturio.com]

  • Accidental Hypothermia

    […] the remarkable salvageability of patients suffering prolonged cardiac arrest caused by accidental hypothermia, particularly in the absence of asphyxia, trauma, or severe hyperkalemia[ncbi.nlm.nih.gov] The ECG manifestations of hyperkalemia begin with peaked T waves.[foamcast.org] Contraindications to resuscitation include: - Avalanche burial 35 minutes with airway packed with snow and initial rhythm of asystole - Asphyxiation - Hyperkalemia ( 12 mmol[ems1.com]

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