Sign Out
Symptoms: Mainly cardiovascular (hypotension, shock, ventricular arrhythmias, bundle-branch block, ventricular fibrillation leading possibly to cardiac arrest), neuromuscular and gastrointestinal. Beside elevation of serum potassium concentration, typical ECG changes are also noted (increasing amplitude and peaking of T waves, disappearance of P wave, widening of QRS complex and S-T depression).
Management: Gastric lavage, preferably with physiological saline. Continuous ECG-monitoring, close monitoring of electrolytes and blood gases. Infusion of physiological saline, correction of metabolic acidosis with intravenous sodium bicarbonate. Infusion of glucose and insulin, forced diuresis and possibly peritoneal dialysis or hemodialysis. Use of exchange resins. In case of cramps diazepam.
Continue with Google