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551 Possible Causes for Hyperkalemia, Lithium

  • Electrolytes Abnormal

    The relation between lithium and the members of the second group. O.I 0.3 0.5 TTL Z Concentration FIG. 6..[] Hyperkalemia Pφ Severe hyperkalemia is a life-threatening emergency, requiring immediate treatment.[] Diuretic drugs, cyclosporin, lithium, heparin, ACE inhibitors, beta blockers , and trimethoprim can increase serum potassium levels, as can heavy exercise .[]

  • Diuretic Toxicity

    Monitor for hyperkalemia, drowsiness, GI upset, masculinization, rash Chlorothiazide ( Diuril, Diurigen ) decreased sodium reabsorption in the distal nephron PO or IV: 10[] Since Li has similar ion characteristics to Na , some lithium may get in on some of the action as well.[] , K depletion, CHF Toxicity: Hyperkalemia (canlead to arrhythmias)[]

  • Hyperkalemia

    Decreased potassium excretion Drugs ACE inhibitors Angiotensin II receptor blockers Direct renin inhibitor ( aliskiren ) Cyclosporine Heparin Potassium-sparing diuretics Lithium[] In patients with diabetic nephropathy, hyperkalemia may be caused by the syndrome of hyporeninemic hypoaldosteronism.[] We present a case of hyperkalemia, initially diagnosed as ventricular tachycardia, to demonstrate how difficult hyperkalemia can be to diagnose.[]

  • Acidosis

    […] araldehyde, propylene glycol T T oluene I I ron, isoniazid C C yanide and carbon monoxide Low anion gap Increase in unmeasured cations (Increased Li, K, Ca, Mg, and IgG) Lithium[] She responded to thiazide diuretics and her BP is well controlled, and acidosis and hyperkalemia are corrected.[] Low AG - can be the result of raised unmeasured cations such as in hypercalcaemia, hypermagnesaemia, and lithium toxicity.[]

  • Rhabdomyolysis

    […] diabetes , hypothyroidism , and hyperthyroidism • Several drugs (examples include drugs of abuse (ethanol, cocaine), some antibiotics, antidepressants, corticosteroids, lithium[] Abstract The Brugada sign may appear as an indication of severe hyperkalemia. This phenomena has recently been called as the "Brugada phenocopy".[] […] uncontrolled diabetes, hypothyroidism, and hyperthyroidism • Several drugs (examples include drugs of abuse (ethanol, cocaine), some antibiotics, antidepressants, corticosteroids, lithium[]

  • Acute Kidney Failure

    ., sepsis, shock, trauma, kidney stones, drug toxicity (aspirin, lithium, substances of abuse), toxins, iodinated radiocontrast.[] Her hyperkalemia and kidney failure resolved after the surgery.[] […] intravascular hemolysis Crystals - Tumor lysis syndrome, seizures, ethylene glycol poisoning, megadose vitamin C, acyclovir, indinavir, methotrexate Drugs - Aminoglycosides, lithium[]

  • Diabetes Mellitus

    […] young-boy, diagnosed with autism, developed diabetes mellitus type 1 whilst he was on treatment with olanzapine (started 4 months before), clomipramine, valproic acid and lithium[] It presents with asymptomatic hyperkalemia along with hyperchloraemic metabolic acidosis without significant renal function impairment.[] When GFR falls below 20 mL/min, hyperkalemia and metabolic acidosis develop.[]

  • Chronic Kidney Insufficiency

    Manage the sequelae of ACRF (hyperkalemia, uremia and volume overload can be life-threatening).[] […] develop in the kidneys blockages in the flow of urine – for example, from recurrent kidney stones or an enlarged prostate long-term, regular use of certain medicines – such as lithium[] […] anti-inflammatory drugs ( NSAIDs ) like ibuprofen ( Advil, Motrin, and others), and naproxen ( Aleve, Naprosyn ) Antibiotics like aminoglycosides gentamicin ( Garamycin ), tobramycin lithium[]

  • Thrombocytopenia

    […] available LMWH's) hydrochlorothiazide top Imipenem (Primaxin) I indinavir indomethacin interferon alfa iopanoic acid top isoniazid levamisole L linezolid (Zyvox) lansoprazole lithium[] Lithium carbonate or folate may also be used to stimulate platelet production in the bone marrow.[] Lithium carbonate or folate may also be used to stimulate the bone marrow production of platelets.[]

  • Cardiac Arrhythmia

    Unmasking of Brugada syndrome by lithium. Circulation. 2005 ; 112 : 1527–1531. Link Google Scholar 66. Yap YG, Behr ER, Camm AJ. Drug-induced Brugada syndrome.[] The probable cause of arrhythmia is succinylcholine-induced hyperkalemia.[] While there is little doubt about the threat of lethal arrhythmias due to hyperkalemia, convincing evidence for the danger of low potassium dialysate and rapid or excess potassium[]

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