HYPERKALEMIA CAUSING SEVERE MUSCLE WEAKNESS IN A PATIENT WITH RENAL INSUFFICIENCY
Patel Harshvardhan Anilbhai, Natarajan Anuradha, Viknesh Prabhu, Vijay Jayaraman, Krishnan Mohankumar Vignesh
Abstract
In individuals with renal insufficiency, hyperkalaemia is one of the most common electrolyte imbalances, whereas it is uncommon in healthy people. When potassium is given or combined with a potassium-sparing diuretic, it happens quickly. It usually does not produce any signs and symptoms and is identified with normal blood investigations. Hyperkalemia causes faulty heart conduction and muscle weakness, among other symptoms. Muscle weakness as a clinical manifestation, on the other hand, is infrequent in clinical practise. This could be due to the fact that cardiac symptoms frequently appear earlier than weakness of muscles, necessitating the implementation of suitable interventions even before potassium concentration reaches a level that causes weakness. We present a case in which a patient with renal insufficiency had acute weakness of muscles as a result of extreme hyperkalaemia that acquired fast recovery after potassium and potassium-sparing diuretic administration.
Keywords
Hyperkalemia; Muscle Weakness; Paralysis: Renal Insufficiency; Potassium.
References
Tinawi M. Diagnosis and management of hyperkalemia. Arch Clin Biomed Res 2020;4(3):153-68. https://doi.org/10.26502/acbr.50170095
Tapiawala S, Badve SV, More N, Shah BV. Severe muscle weakness due to hyperkalemia. J-Assoc Physicians India 2004 Jun 1;52:505-7.
Kimmons LA, Usery JB. Acute ascending muscle weakness secondary to medication-induced hyperkalemia. Case Rep Med 2014; 2014:789529. https://doi.org/10.1155/2014/789529
Nyirenda MJ, Tang JI, Padfield PL, Seckl JR. Hyperkalaemia. BMJ 2009 Oct 23;339:b4114. https://doi.org/10.1136/bmj.b4114
DOI:
https://doi.org/10.46903/gjms/19.03.1034
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Copyright (c) 2021. Patel Harshvardhan Anilbhai, Natarajan Anuradha, Viknesh Prabhu, Vijay Jayaram, Krishnan Mohankumar Vignesh.

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