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Case Reports
. 2002 Jul;95(1):39-41, table of contents.
doi: 10.1097/00000539-200207000-00006.

Life-threatening hyperkalemia: a complication of spironolactone for heart failure in a patient with renal insufficiency

Yuwen Hu  1 , Jeffrey P Carpenter, Albert T Cheung
Affiliations
Case Reports

Life-threatening hyperkalemia: a complication of spironolactone for heart failure in a patient with renal insufficiency

Yuwen Hu et al. Anesth Analg. 2002 Jul.

Abstract

Serum potassium concentration should be measured immediately before operation to detect hyperkalemia in heart failure patients treated with spironolactone. Renal insufficiency, advanced age, potassium supplementation, decompensated congestive heart failure, and a spironolactone dose larger than 25 mg/d increase the risk of hyperkalemia as a consequence of spironolactone therapy.

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