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865 Possible Causes for Hypokalemia, Hyponatremia, Hypotension

  • Adrenal Insufficiency

    Patients receiving fludrocortisone acetate may experience gastrointestinal upset, edema, hypertension, hypokalemia, insomnia, and excitability.[pharmacytimes.com] Unexplained hypotension may be a manifestation of an adrenal insufficient state in patients with a history of corticosteroid therapy on hemodialysis.[ncbi.nlm.nih.gov] A 60-year-old woman with a past medical history of Cushing's syndrome developed hyponatremia with symptoms of acute glucocorticoid deficiency, such as prolonged general fatigue[ncbi.nlm.nih.gov]

  • Acute Gastroenteritis

    It is known that these patients are more susceptible to hypokalemia than normal individuals.[ncbi.nlm.nih.gov] […] extreme sleepiness, sunken fontanels, and fussiness in infants; irritability/confusion in adults; and dry mucous membranes, little urine to anuria, sunken eyes, tenting, hypotension[contemporaryclinic.pharmacytimes.com] Diluted ORS often lead to Hyponatremia.[omicsonline.org]

  • Congestive Heart Failure

    In most cases, it is a result of diuretic therapy, which causes activation of the renin-angiotensin system, chloride depletion, increased distal sodium delivery, hypokalemia[ncbi.nlm.nih.gov] After cardioversion, refractory hypotension and cardiopulmonary arrest occurred. An arterial blood gas analysis showed marked lactic acidosis.[ncbi.nlm.nih.gov] We describe the use of conivaptan in a 4-month-old infant girl with severe hypervolemic hyponatremia and heart failure.[ncbi.nlm.nih.gov]

  • Loop Diuretic

    […] severe hypokalemia or other electrolyte abnormalities were observed between the groups.[ncbi.nlm.nih.gov] […] serum PTH was appropriately twofold greater than in those not taking hypotensive medication.[ncbi.nlm.nih.gov] Additionally, copeptin concentrations did not predict future development of hyponatremia.[ncbi.nlm.nih.gov]

  • Acute Liver Failure

    Also, severe electrolye abnormalities (hyponatremia, hypophosphatemia, hypokalemia, hypomagnesemia, also metabolic acidosis). Patients often need CVVH. 5.[errolozdalga.com] Clinical examination showed an extensive coagulation disorder, diffuse hematomas, hypotension and tachypnea.[ncbi.nlm.nih.gov] Correction of hypokalemia is essential as hypokalemia increases the kidneys' ammonia production, potentially exacerbating encephalopathy.[en.wikipedia.org]

  • Cholera

    Hypokalemia: results from potassium loss in the stool. Hypokalemia develops only after the acidosis is corrected.[symptoma.com] He was admitted with severe hypotension and acute renal failure, but recovered with rapid rehydration. Vibrio cholerae O1 serotype Ogawa was isolated.[ncbi.nlm.nih.gov] Disturbing trends during therapy have included overhydration, hyponatremia and polyuria.[ncbi.nlm.nih.gov]

  • Heat Stroke

    […] confusional state (58.97%),coma (29.48%), seizure (33.33%),and vomiting (26.92%).Vital parameters were recorded and laboratory parameters revealed hypophosphatemia, hyponatremia, hypokalemia[ncbi.nlm.nih.gov] In addition, pulmonary edema, coma, hypotension, and hyperpyrexia occurred.[ncbi.nlm.nih.gov] On admission, the common electrolyte disturbances were hypokalemia (71.2 %), hypophosphatemia (59.1 %), hyponatremia (53.0 %), hypocalcemia (51.5 %), and hypomagnesemia (34.9[ncbi.nlm.nih.gov]

  • Vomiting

    The patient, a 60-yearold woman, had been suffering for 9 months from episodes of vomiting which resulted in weight loss, dehydration, and hypokalemia.[ncbi.nlm.nih.gov] Low blood pressure (Hypotension) Low blood pressure often leads to dizzy spells which , for some people, can induce a feeling of nausea as the world appears to spin around[diabetes.co.uk] The patient presented with vomiting and pain abdomen, persistent hyponatremia, and terminal hypoglycemia.[ncbi.nlm.nih.gov]

  • Metabolic Alkalosis

    Hypokalemia seen with heat stress is secondary to sweat as well as renal potassium wasting.[ncbi.nlm.nih.gov] We describe a case of medication induced metabolic alkalosis in a maintenance dialysis patient who developed severe hypotension while undergoing a lactate hemofiltration procedure[ncbi.nlm.nih.gov] In conclusion, the authors report a rare case of CF with Delta F508/F311L genotype presented with recurrent hyponatremia and metabolic alkalosis.[ncbi.nlm.nih.gov]

  • Renal Salt-Wasting Syndrome

    In 3 patients, fludrocortisone treatment was complicated by hypokalemia, and in 1 patient by hypertension, which necessitated a dose reduction or brief cessation of therapy[pediatrics.aappublications.org] Seven of seventy patients treated with cisplatin over 18 months developed salt-wasting nephropathy and orthostatic hypotension.[annals.org] Hyponatremia after chemotherapy is not an uncommon clinical syndrome.[ncbi.nlm.nih.gov]

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