Question

The patient has generalized pain and tingling across the arms, legs, chest, back, and abdomen. EKG showed normal sinus rhythm, but she was found to have elevated potassium of 7.3, which was treated urgently with standard therapies. There was resolution of pain after corrected potassium levels and dialysis. Final diagnoses and procedures: (1) Hyperkalemia due to missed regularly scheduled dialysis appointment, (2) end-stage renal disease secondary to rapidly progressive glomerulonephritis, (3) three intermittent hemodialysis sessions (4 hours per day).

Answer 1

A patient who has end stage renal disease has elevated levels of potassium and other electrolytes levels due to poor filtration process of the renal system .So a dialysis can remove thus excess potassium levels and prevent hyperkalemia associated symptoms.

A patient with glomerular nephritis can develop ESRD overtime which is almost the loss of the kidney function ideally a GFR less than 30ml/he

Three intermittent hemodialysis can be done in a week for 3 to 4 hours in a week but not in a day.Doing so can reduce all the electrolyte levels and other complications

Ans:Hyperkalemia die to missed regularly scheduled dialysis appointment