Abstract

FUENTES MERLOS, Álvaro; GARRIDO NAVARRO, Francisco  and  LOPEZ-BAS VALERO, Rafael. Management of hyperkalemia: from the emergency department to the home hospitalization unit. Hosp. domic. [online]. 2021, vol.5, n.2, pp.125-130.  Epub Sep 13, 2021. ISSN 2530-5115.  https://dx.doi.org/10.22585/hospdomic.v5i2.130.

Hyperkalemia is a common electrical abnormality that can worsen cardiac arrhythmias and significantly increase mortality. The progressive aging of the population added to the higher incidence of entities such as diabetes mellitus (DM), cardiovascular diseases (CVD) or chronic kidney disease (CVD) as well as the increasing use of renin angiotensin aldosterone system inhibitors (RAASi) has caused make it a frequent problem that clinicians have to face in their day-to-day life. We present a case of a patient admitted to the San Juan de Alicante Home Hospitalization Unit who presented a sudden onset and nonspecific clinical picture due to severe hyperkalemia. After prior stabilization in the emergency department, a combination of treatment with RAASi drugs, loop diuretics and cation exchange resins (patiromer) was performed, presenting an improvement in symptoms and control of potassium levels.

Keywords : Hyperkalemia; Therapeutics; Renin-Angiotensin System.

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