A 55-year-old man with hypertension and nephrolithiasis is admitted to a rehabilitation unit for persistent lower extremity weakness from a thoracic spinal cord injury related to a fall. Findings on electrocardiography are unremarkable. Examination Blood Pressure: 160/80 mm Hg Heart Rate: 94 beats/min Potassium Hospital day 1, 4.2 mmol/L Hospital day 33, 5.8 mmol/L Creatinine, 0.9 mg/dL Sodium, 140 mEq/L Current Medications Amlodipine, 5 mg/d Ibuprofen, 200 mg as needed (last dose 3 days previously) Heparin, 5000 U subcutaneously twice daily What is best pharmacological management approach for reducing the patient’s potassium level?
The answer will be posted soon *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Clinical Pearls of Nephrology