Talk Description
418C - Research Paper
Abstract:
Case Description:
A clinical review of vascular access, diet, medications, dialysis prescription, and residual kidney function was conducted for an 82-year-old gentleman to investigate the cause of his ongoing hyperkalaemia. The potential causes were addressed individually, but he remained hyperkalaemic and asymptomatic. He then presented to dialysis with severe leg weakness, and a life-threatening spike in serum potassium to 8.1 mmol/L. Thorough re-examination and a literature search led to a connection with a previously undisclosed turmeric/glucosamine preparation that the patient was taking for arthritic pain.
Discussion:
This case study highlights the potential risks associated with the use of over-the-counter medications by patients with CKD on haemodialysis. It also emphasises the importance of scrutinising all patient’s medications including over-the-counter and herbal supplements and educating patients about the possible harmful effects of these preparations.
Conclusion:
Timely and thorough investigation of hyperkalaemia and patient education are essential to prevent these life-threatening situations.
Abstract:
Case Description:
A clinical review of vascular access, diet, medications, dialysis prescription, and residual kidney function was conducted for an 82-year-old gentleman to investigate the cause of his ongoing hyperkalaemia. The potential causes were addressed individually, but he remained hyperkalaemic and asymptomatic. He then presented to dialysis with severe leg weakness, and a life-threatening spike in serum potassium to 8.1 mmol/L. Thorough re-examination and a literature search led to a connection with a previously undisclosed turmeric/glucosamine preparation that the patient was taking for arthritic pain.
Discussion:
This case study highlights the potential risks associated with the use of over-the-counter medications by patients with CKD on haemodialysis. It also emphasises the importance of scrutinising all patient’s medications including over-the-counter and herbal supplements and educating patients about the possible harmful effects of these preparations.
Conclusion:
Timely and thorough investigation of hyperkalaemia and patient education are essential to prevent these life-threatening situations.