Life-threatening, preventable hyperkalemia in a nursing home resident: Case report and literature review

T. S. Dharmarajan, Tuan Nguyen, Robin O. Russell

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

A 70-year-old male nursing home resident, hospitalized for weakness and lethargy, was found to have life-threatening hyperkalemia. Concomitant use of potassium chloride, spironolactone, and propranolol appeared the likely offending agents. Hyperkalemia is common in the elderly, resulting from a combination of potassium homeostasis disorders, disease processes and certain medications. In particular, older adults in the nursing home on spironolactone and potassium replacement preparations should have serum potassium monitored frequently, particularly in the presence of renal insufficiency and diabetes. Also included is a review of literature illustrating alterations in potassium regulation in older adults and a suggested approach to potassium-related disorders in the nursing home setting.

Original languageEnglish (US)
Pages (from-to)400-405
Number of pages6
JournalJournal of the American Medical Directors Association
Volume6
Issue number6
DOIs
StatePublished - Jan 1 2005
Externally publishedYes

Keywords

  • Drug-induced
  • Hyperkalemia
  • Long-term care
  • Spironolactone

ASJC Scopus subject areas

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology

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