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724 Possible Causes for Hypokalemia, Hypotension, Syncope

  • Acute Alcohol Intoxication

    The most common finding was hyperlactinemia occurring in 66% of the patients (n 128) followed by hypokalemia ( 6.1 mmol/L) in 40.2% of the children (n 78).[ncbi.nlm.nih.gov] Take the patient’s blood pressure to ascertain if there are any orthostatic changes, hypotension, or tachycardia.[medical-dictionary.thefreedictionary.com] […] alcohol intoxication stems from many complications that arise in the presence of large quantities of ethanol in the circulation ( 350mg/100ml), including lactic acidosis, hypokalemia[symptoma.com]

  • 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] […] on the right side of the heart, and it may be more easily felt Eyes or feet may be puffy as the right heart fails Chest pain Palpitations (irregular heartbeat) Dizziness Syncope[cincinnatichildrens.org] After cardioversion, refractory hypotension and cardiopulmonary arrest occurred. An arterial blood gas analysis showed marked lactic acidosis.[ncbi.nlm.nih.gov]

  • Tachyarrhythmia

    Also correct for hypokalemia and hypocalcemia.[openanesthesia.org] However, the diagnosis, which can vary from benign cases of vasovagal syncope to heart disease related syncope is associated with a more than twofold increase in mortality[caribbean.scielo.org] One patient in the landiolol group showed hypotension and bradycardia, without serious consequences.[ncbi.nlm.nih.gov]

  • Anorexia Nervosa

    Nutritional support was begun slowly, however electrolyte derangements began to manifest on hospital day 2, with hypophosphatemia, hypokalemia, hypocalcemia, and hypomagnesemia[ncbi.nlm.nih.gov] Difficulties concentrating Abnormal laboratory findings (anemia, low thyroid and hormone levels, low potassium, low blood cell counts, slow heart rate) Dizziness Fainting/syncope[nationaleatingdisorders.org] In AN various cardiac complications may occur: hypotension, bradycardia, life-threatening ventricular arrhythmias, pericardial effusion, reduction of left ventricular mass[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] Individuals with heat stroke were identified and compared to control subjects with mild heat illness such as heat exhaustion, heat edema, heat cramps, and heat syncope.[ncbi.nlm.nih.gov] In addition, pulmonary edema, coma, hypotension, and hyperpyrexia occurred.[ncbi.nlm.nih.gov]

  • Hypokalemia

    MayoClinic.com: Low potassium (hypokalemia) MedicineNet.com: Low Potassium (Hypokalemia) eMedicineHealth.com: Low Potassium (Hypokalemia) Content of Selected Foods per Common[en.wikipedia.org] One patient (a 38-year-old female) had experienced recurrent episodes of syncope due to ventricular tachyarrhythmias (VTAs) accompanied by QT prolongation (QTc: 750ms) when[ncbi.nlm.nih.gov] Intravenous fluid boluses of normal saline (10.5 L in about 24 h) and vasopressors were started with rapid correction of hypotension.[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] The proximal site of salt transport defect has been suggested by the absence of hyperreninemia and hypokalemia, which would be a distinguishing feature of Bartter’s syndrome[karger.com]

  • Toxic Shock Syndrome

    […] adults or below fifth percentile by age for children less than 16 years of age, orthostatic drop in diastolic blood pressure 15 mm Hg from lying to sitting, orthostatic syncope[lifeinthefastlane.com] At initial presentation, she was hypotensive, febrile, and tachycardic.[ncbi.nlm.nih.gov] […] manifestations: Fever: temperature greater than or equal to 102.0 F (greater than or equal to 38.9 C) Rash: diffuse macular erythroderma Desquamation: 1-2 weeks after onset of rash Hypotension[wwwn.cdc.gov]

  • Orthostatic Hypotension

    Hypokalemia, which is dose-dependent and can appear within one to two weeks of treatment, may occur. 9, 24 In one study, hypokalemia developed in 24 percent of participants[aafp.org] Arrhythmias may cause severe syncope, characterized by an increased risk of mortality.[ncbi.nlm.nih.gov] The drop in blood pressure may be sudden (vasovagal orthostatic hypotension), within 3 minutes (classic orthostatic hypotension) or gradual (delayed orthostatic hypotension[en.wikipedia.org]

  • Syncope

    Attention should be paid to potential side effects of therapy, such as supine hypertension in susceptible individuals taking midodrine and hypokalemia in patients taking fludrocortisone[clevelandclinicmeded.com] […] for syncope is identified.[ncbi.nlm.nih.gov] We reported a 75-year-old man who had recurrent syncope attacks secondary to hypotension and reduced plasma norepinephrine (NE) levels.[ncbi.nlm.nih.gov]

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