title: Atypical electrolyte kinetics during an emergency dialysis session in a patient with Leriche syndrome.
abstract: A hemodialysis patient suffered from circulation failure due to a low output syndrome caused by a hyperkalemia (9.9 micromol/l) with typical ecg signs. An emergency hemodialysis was started. After 2 h ecg signs of hypokalemia (2.1 micromol/l) were detectable. Hemodialysis was stopped. 2 h later, serum potassium rose to 6.2 micromol/l. An obturation of the aorta and the inferior caval vein with perfusion through collateral vessels of the lower body side was obvious, resulting into a faster electrolyte correction in the upper and a delayed correction in the lower body side with a rebound in the upper compartment. Dialysis time and dialysate potassium (4.0 micromol/l) were increased. Furthermore no potassium problems occurred.
authors.affiliation: Department of Internal Medicine and Nephrology, University of Rostock, Rostock, Germany. Sebastian.koball@medizin.uni-rostock.de
authors.forename: S
authors.initials: S
authors.lastname: Koball
authors.forename: H
authors.initials: H
authors.lastname: Hickstein
authors.forename: A
authors.initials: A
authors.lastname: Führer
authors.forename: T
authors.initials: T
authors.lastname: Heller
authors.forename: J
authors.initials: J
authors.lastname: Stange
authors.forename: S
authors.initials: S
authors.lastname: Mitzner
mesh_terms: D001027:Aortography / Q000379:methods; D004562:Electrocardiography; D004638:Emergency Treatment; D006801:Humans; D006947:Hyperkalemia / Q000097:blood / Q000209:etiology*; D007008:Hypokalemia / Q000097:blood / Q000209:etiology; D007700:Kinetics; D007925:Leriche Syndrome / Q000097:blood / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011188:Potassium / Q000097:blood*; D006435:Renal Dialysis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011188:Potassium