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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.[] 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[] Her labs revealed digitalis toxicity and hyperkalemia. Actual lab values not available. With digitalis toxicity, hypokalemia and hyperkalemia are possible.[]

  • Acute Kidney Failure

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

  • Acidosis

    She responded to thiazide diuretics and her BP is well controlled, and acidosis and hyperkalemia are corrected.[] In more severe cases it can present with altered mental status, coma, hypotension, hypothermia and respiratory insufficiency.[] 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.[]

  • Malignant Hyperthermia

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

  • Heat Stroke

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

  • Arsine Poisoning

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

  • Cardiac Arrest

    CONCLUSIONS Our case illustrates that the FFK measurement is helpful for identifying ECD-related hyperkalemia and for providing advance warning of PRCA.[] 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[] 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[]

  • 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[] 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[] Potassium-sparing diuretics should not be given because of the risk of severe hyperkalemia.[]

  • Chronic Kidney Insufficiency

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

  • 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[] The ECG manifestations of hyperkalemia begin with peaked T waves.[] Contraindications to resuscitation include: - Avalanche burial 35 minutes with airway packed with snow and initial rhythm of asystole - Asphyxiation - Hyperkalemia ( 12 mmol[]

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