Paradoxical Critical Hyperkalemia After Acetazolamide for Cerebrovascular Reactivity Study: A Case Report

被引：1
|
作者：
Burbridge, Mark A. [1 ]
Jaffe, Richard A. [1 ]
机构：
[1] Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA 94305 USA
来源：
A & A PRACTICE | 2020年 / 14卷 / 03期
关键词：
PULMONARY-EDEMA; ANAPHYLACTIC SHOCK; ORAL INTAKE;
D O I：
10.1213/XAA.0000000000001148
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We present the case of a 42-year-old man with moyamoya disease presenting for cerebral revascularization surgery who developed critical hyperkalemia following a single intravenous (iv) dose of 1000 mg of acetazolamide 1 day preoperatively for a cerebrovascular reactivity study. His potassium increased from 5.1 to 6.7 mmol/L. Prompt treatment of this abnormality allowed this patient to undergo surgery the next day uneventfully. A paradoxical, critical increase in potassium can result from a single 1000-mg iv dose of acetazolamide.
引用
收藏
页码：69 / 71
页数：3
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