A 55-year-old man presented with a history of hypertension and nephrolithiasis. He complains of lower extremity weakness, and the reason for lower extremity weakness is found to be a thoracic spinal cord injury associated with a fall. Examination Blood pressure: 160/80 mm Hg Heart rate: 94 beats/min Electrocardiography: No remarkable results Laboratory results Potassium: Day 1-4.2 mmol/L, Day 33-5.8 mmol/L Creatinine: 0.9 mg/dL Sodium: 140 mEq/L Arterial blood gas on room air: Po2-65 mm Hg, Pco2-40 mm Hg Bicarbonate: 4 mEq/L pH: 7.40 Current medication Amlodipine: 5 mg/d Ibuprofen: 200 mg as needed (last dose three days previously) Heparin: 5000 U subcutaneously twice daily How will you manage this patient’s potassium levels?
*This case is from the Editorial Team of Docplexus and is meant for educational purposes only. Source: Clinical Pearls in Nephrology The correct answer is posted…
