BibTex Citation Data :
@article{dmj53198, author = {Dian Parna and Herdono Poernomo and I Made Parmana}, title = {MANAGEMENT OF RECURRENT SEVERE HYPOKALEMIA IN CORONARY ARTERY BYPASS SURGERY}, journal = {Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal)}, volume = {15}, number = {1}, year = {2025}, keywords = {Recurrent severe hypokalemia; Perioperative hypokalemia; Coronary artery bypass surgery}, abstract = { Background: Intracellular and serum potassium levels have important effects on homeostasis cardiovascular system. Patients undergoing cardiac surgery may develop perioperative hypokalemia. Electrocardiographic (ECG) manifestations of hypokalemia include flattening of the T wave followed by T wave inversion, ST wave depression, prominent U wave, prolongation of the QTc interval, torsades de pointes, to asystole. Case Presentation: In this case report, a patient with coronary heart disease who underwent coronary artery bypass surgery, with moderate to severe hypokalemia, before surgery to postoperative care in the ICU. Management of hypokalemia in this patient using potassium chloride 10-50meq/hour (total 250 meq). Conclusion: Establishing a diagnosis, looking for underlying disease related to hypokalemia, and a history of preoperative medication should also be considered. Optimal conditions preoperatively can reduce morbidity and mortality. Appropriate management of severe hypokalemia should be known to all medical personnel. Periodic monitoring of ECG and potassium levels is necessary. }, issn = {2540-8844}, pages = {62--70} doi = {10.14710/dmj.v15i1.53198}, url = {https://ejournal3.undip.ac.id/index.php/medico/article/view/53198} }
Refworks Citation Data :
Background: Intracellular and serum potassium levels have important effects on homeostasis cardiovascular system. Patients undergoing cardiac surgery may develop perioperative hypokalemia. Electrocardiographic (ECG) manifestations of hypokalemia include flattening of the T wave followed by T wave inversion, ST wave depression, prominent U wave, prolongation of the QTc interval, torsades de pointes, to asystole. Case Presentation: In this case report, a patient with coronary heart disease who underwent coronary artery bypass surgery, with moderate to severe hypokalemia, before surgery to postoperative care in the ICU. Management of hypokalemia in this patient using potassium chloride 10-50meq/hour (total 250 meq). Conclusion: Establishing a diagnosis, looking for underlying disease related to hypokalemia, and a history of preoperative medication should also be considered. Optimal conditions preoperatively can reduce morbidity and mortality. Appropriate management of severe hypokalemia should be known to all medical personnel. Periodic monitoring of ECG and potassium levels is necessary.
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