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Research Article| Volume 7, ISSUE 1, P155-174, January 1991

Hyperkalemia

  • Mark E. Williams
    Correspondence
    Address reprint requests to: Mark E. Williams, MD, FACP Joslin Diabetes Center (Renal Unit), 1 Joslin Place, Boston, MA 02215
    Affiliations
    Chief of Dialysis, New England Deaconess Hospital; and Assistant Professor of Medicine, Harvard Medical School, Boston, Massachusetts
    Search for articles by this author
DOI:https://doi.org/10.1016/S0749-0704(18)30329-4
Hyperkalemia
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      Normal potassium homeostasis depends on maintenance of its internal and external balance. The primary organ for preserving external K balance is the kidney; internal factors primarily include insulin, catecholamines, and acidosis. Patients at risk for hyperkalemia include those with renal failure, diabetes mellitus, hyporenin- emic hypoaldosteronism, or on a variety of drugs. The cardiac effects of severe hyperkalemia may require urgent therapy in a critical care setting. Because hyperkalemia has many causes, an organized approach is necessary to determine the underlying cause.
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      DOI: https://doi.org/10.1016/S0749-0704(18)30329-4

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      © 1991 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

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