2020JOURNAL OF ACUTE CARE SURGERYOpen access

Perioperative Management of a Patient with Hypokalemic Periodic Paralysis: A Case Report

Sung Il Bae, Yeran Hwang, Jong-Won Kim, Seongyeong Tak, Ju‐Tae Sohn

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Abstract

IntroductionHypokalemia is an electrolyte imbalance characterized by low serum potassium concentrations (normal range: 3.5-5.0mEq/L).Symptoms of hypokalemia usually do not present until serum potassium levels are below 3.0 mEq/L.Hypokalemia affects kidney function and is associated with metabolic acidosis and rhabdomyolysis.If the nervous system is affected, the patient may experience weakness, leg cramps, and paralysis.Intestinal paralysis or respiratory difficulties are signs of severe hypokalemia.The effects of hypokalemia on the cardiovascular system present as abnormal electrocardiogram (ECG) findings, cardiac arrhythmia, and heart failure [1-3].Severe hypokalemia leads to unstable arterial blood pressure

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IntroductionHypokalemia is an electrolyte imbalance characterized by low serum potassium concentrations (normal range: 3.5-5.0mEq/L).Symptoms of hypokalemia usually do not present until serum potassium levels are below 3.0 mEq/L.Hypokalemia affects kidney function and is associated with metabolic acidosis and rhabdomyolysis.If the nervous system is affected, the patient may experience weakness, leg cramps, and paralysis.Intestinal paralysis or respiratory difficulties are signs of severe hypokalemia.The effects of hypokalemia on the cardiovascular system present as abnormal electrocardiogram (ECG) findings, cardiac arrhythmia, and heart failure [1-3].Severe hypokalemia leads to unstable arterial blood pressure

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Available abstract

IntroductionHypokalemia is an electrolyte imbalance characterized by low serum potassium concentrations (normal range: 3.5-5.0mEq/L).Symptoms of hypokalemia usually do not present until serum potassium levels are below 3.0 mEq/L.Hypokalemia affects kidney function and is associated with metabolic acidosis and rhabdomyolysis.If the nervous system is affected, the patient may experience weakness, leg cramps, and paralysis.Intestinal paralysis or respiratory difficulties are signs of severe hypokalemia.The effects of hypokalemia on the cardiovascular system present as abnormal electrocardiogram (ECG) findings, cardiac arrhythmia, and heart failure [1-3].Severe hypokalemia leads to unstable arterial blood pressure

Key concepts: Hypokalemia, Hypokalemic periodic paralysis, Medicine, Paralysis, Perioperative, Anesthesia, Surgery, Potassium

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