Journal of Jilin University(Medicine Edition) ›› 2021, Vol. 47 ›› Issue (5): 1314-1322.doi: 10.13481/j.1671-587X.20210533
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Received:2020-12-31Online:2021-09-28Published:2021-10-26
CLC Number:
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Tab.1
Diseases affecting serum potassium"
| Classification | Hypokalemia | Hyperkalemia |
|---|---|---|
| Renal disease | Bartter’s syndrome | Acute renal failure |
| Liddle’s syndrome | Chronic renal failure | |
| Gitelman’s syndrome | Urinary tract calculi | |
| Type 1 or type 2 renal tubular acidosis | Type 4 renal tubular acidosis | |
| Metabolic diseases | Nephrogenic diabetes insipidous | |
| Metabolic alkalosis | Metabolic acidosis | |
| Endocrine diseases | Hyperaldosteronism | Addison’s disease |
| Type 2 diabetes | Type 1 diabetes | |
| Conn’s syndrome | Low serum renin | |
| Hypertension exacerbated by pregnancy | Familial hyperaldosteronism, type 1 | |
| Cushing’s syndrome | Gordon’s syndrome | |
| Ectopic ACTH syndrome | Congenital isolated hypoaldosteronism | |
| Others | Hypokalaemic periodic paralysis | Hyperkalaemic periodic paralysis |
| Trauma | Malignant hyperthermia |
Tab.1
Tab.2
Drugs affecting serum K+"
| Classification | Hypokalemia | Hyperkalemia |
|---|---|---|
| Intake of potassium | Diet pills | Potassium supplements |
| Excretion of potassium | Laxative abuse | K+ sparing diuretics：spironolactone |
| Drugs of bowel preparation | Angiotensin-converting enzyme inhibitors | |
| Diuretics | Angiotensin-Ⅱ receptor blockers | |
| Penicillin and derivatives | Renin inhibitors | |
| Aminoglycosides | NSAIDs | |
| Amphotericin B | Heparin and derivatives | |
| Cisplatin | Aldosterone antagonists | |
| Foscarnet sodium | ||
| Liquorice | ||
| Transcellular shift | Non-depolarizing muscle relaxants | Depolarizing muscle relaxants |
| β2-adrenergic agonists | β-blockers | |
| Calcium channel blocker | α-adrenergic agonists | |
| Insulin | Digitalis | |
| Bicarbonate | Mannitol | |
| Theophylline | Cell destroying drugs | |
| Caffeine |
Tab.2
| 1 | ABENSUR VUILLAUME L， FERREIRA J P， ASSERAY N， et al. Hypokalemia is frequent and has prognostic implications in stable patients attending the emergency department［J］. PLoS One， 2020， 15（8）： e0236934. |
| 2 | ZHU Q， LI X， TAN F， et al. Prevalence and risk factors for hypokalemia in patients scheduled for laparoscopic colorectal resection and its association with post-operative recovery［J］. BMC Gastroenterol， 2018， 18（1）： 152. |
| 3 | ARORA P， POURAFKARI L， VISNJEVAC O，et al. Preoperative serum potassium predicts the clinical outcome after non-cardiac surgery［J］. Clin Chem Lab Med CCLM， 2017， 55（1）： 145-153. |
| 4 | DAWWAS M F， LEWSEY J D， WATSON C J， et al. The impact of serum potassium concentration on mortality after liver transplantation： a cohort multicenter study［J］. Transplantation， 2009， 88（3）： 402-410. |
| 5 | BOWLING C B， PITT B， AHMED M I， et al. Hypokalemia and outcomes in patients with chronic heart failure and chronic kidney disease： findings from propensity-matched studies［J］.Circ Heart Fail，2010， 3（2）： 253-260. |
| 6 | AHMED M I， EKUNDAYO O J， MUJIB M， et al. Mild hyperkalemia and outcomes in chronic heart failure： a propensity matched study［J］. Int J Cardiol， 2010， 144（3）： 383-388. |
| 7 | JENSEN H K， BRABRAND M， VINHOLT P J，et al. Hypokalemia in acute medical patients： risk factors and prognosis［J］. Am J Med， 2015， 128（1）： 60-67.e1. |
| 8 | ELLENBERGER C， SOLOGASHVILI T， KREIENBÜHL L， et al. Myocardial protection by glucose-insulin-potassium in moderate- to high-risk patients undergoing elective on-pump cardiac surgery： a randomized controlled trial［J］. Anesth Analg， 2018， 126（4）： 1133-1141. |
| 9 | REHMAN SIDDIQU N U， MERCHANT Q， HASAN B S， et al. Comparison of enteral versus intravenous potassium supplementation in hypokalaemia in paediatric patients in intensive care post cardiac surgery： open-label randomised equivalence trial（EIPS）［J］. BMJ Open， 2017，7（5）： e011179. |
| 10 | LANCASTER T S， SCHILL M R， GREENBERG J W，et al. Potassium and magnesium supplementation do not protect against atrial fibrillation after cardiac operation： a time-matched analysis［J］. Ann Thorac Surg， 2016， 102（4）： 1181-1188. |
| 11 | AMERICAN SOCIETY OF ANESTHESIOLOGISTS TASK FORCE ON PREANESTHESIA EVALUATION. Practice advisory for preanesthesia evaluation： a report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation［J］. Anesthesiology， 2002， 96（2）： 485-496. |
| 12 | EL-SHERIF N， TURITTO G. Electrolyte disorders and arrhythmogenesis［J］. Cardiol J， 2011， 18（3）： 233-245. |
| 13 | GENNARI F J. Disorders of potassium homeostasis： Hypokalemia and hyperkalemia［J］. Crit Care Clin， 2002， 18（2）： 273-288. |
| 14 | ALFONZO A V， ISLES C， GEDDES C， et al. Potassium disorders： clinical spectrum and emergency management［J］. Resuscitation， 2006， 70（1）： 10-25. |
| 15 | WANG X， HAN D， LI G. Electrocardiographic manifestations in severe hypokalemia［J］. J Int Med Res， 2020， 48（1）： 300060518811058. |
| 16 | RASTEGAR A， SOLEIMANI M. Hypokalaemia and hyperkalaemia［J］. Postgrad Med J， 2001， 77（914）： 759-764. |
| 17 | FANOUS A A， TICK R C， GU E Y， et al. Life-threatening mannitol-induced hyperkalemia in neurosurgical patients［J］. World Neurosurg， 2016， 91： 672.e5-672.e9. |
| 18 | FLYNN B C. Hyperkalemic cardiac arrest with hypertonic mannitol infusion： the strong ion difference revisited［J］. Anesth Analg， 2007， 104（1）： 225-226. |
| 19 | MONTAGUE B T， OUELLETTE J R， BULLER G K.Retrospective review of the frequency of ECG changes in hyperkalemia［J］. Clin J Am Soc Nephrol， 2008， 3（2）： 324-330. |
| 20 | DESALVO K B， OLSON R， CASAVALE K O. Dietary guidelines for Americans［J］. JAMA， 2016， 315（5）： 457-458. |
| 21 | DUBOSE T D. Regulation of potassium homeostasis in CKD［J］. Adv Chronic Kidney Dis， 2017， 24（5）： 305-314. |
| 22 | 杨丽丽， 席 波. 中国成年居民2000－2015年膳食钠、钾摄入量变化趋势分析［J］. 中国公共卫生， 2017，33（8）： 1249-1253. |
| 23 | KARDALAS E， PASCHOU S A， ANAGNOSTIS P， et al. Hypokalemia： a clinical update［J］. Endocr Connect， 2018， 7（4）： R135-R146. |
| 24 | PALMER B F， CLEGG D J. Achieving the benefits of a high-potassium， paleolithic diet， without the toxicity［J］. Mayo Clin Proc， 2016， 91（4）： 496-508. |
| 25 | GUMZ M L， RABINOWITZ L. Role of circadian rhythms in potassium homeostasis［J］. Semin Nephrol， 2013， 33（3）： 229-236. |
| 26 | SHODA W， NOMURA N， ANDO F， et al. Sodium-calcium exchanger 1 is the key molecule for urinary potassium excretion against acute hyperkalemia［J］. PLoS One， 2020， 15（6）： e0235360. |
| 27 | PLANE A F， MARSAN P E， DU CHEYRON D，et al. Rapidly changing ECG in hyperkalaemia after succinylcholine［J］. Lancet， 2019， 393（10184）： 1983. |
| 28 | ROSENHOUSE-DANTSKER A， SUI J L， ZHAO Q， et al. A sodium-mediated structural switch that controls the sensitivity of Kir channels to PtdIns（4， 5）P（2）［J］. Nat Chem Biol， 2008， 4（10）： 624-631. |
| 29 | FERDAUS M Z， MUKHERJEE A， NELSON J W， et al. Mg2+ restriction downregulates NCC through NEDD4-2 and prevents its activation by hypokalemia［J］.Am J Physiol Ren Physiol，2019，317（4）： F825-F838. |
| 30 | JAIN G， ONG S， WARNOCK D G. Genetic disorders of potassium homeostasis［J］. Semin Nephrol， 2013， 33（3）： 300-309. |
| 31 | DU Y， MOU Y， LIU J. Experimental research on individual-specific rapid potassium supplementation strategy for fatal severe hypokalemia［J］. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue， 2018， 30（5）： 409-415. |
| 32 | WEIR M R. Current and future treatment options for managing hyperkalemia［J］. Kidney Int Suppl （2011）， 2016， 6（1）： 29-34. |
| 33 | LI L， HARRISON S D， COPE M J， et al. Mechanism of action and pharmacology of patiromer， a nonabsorbed cross-linked polymer that lowers serum potassium concentration in patients with hyperkalemia［J］. J Cardiovasc Pharmacol Ther， 2016， 21（5）： 456-465. |
| 34 | STAVROS F， YANG A， LEON A， et al. Characterization of structure and function of ZS-9， a K+ selective ion trap［J］. PLoS One， 2014， 9（12）： e114686. |
| 35 | LU G， XU L， ZHONG Y， et al. Significance of serum potassium level monitoring during the course of post-operative rehabilitation in patients with hypokalemia［J］. World J Surg， 2014， 38（4）： 790-794. |
| 36 | CHEN D， LI X K， SONG Q F， et al. Assessment of hypokalemia and clinical characteristics in patients with coronavirus disease 2019 in Wenzhou， China［J］. JAMA Netw Open， 2020， 3（6）： e2011122. |
| 37 | MORENO-P O， LEON-RAMIREZ J M， FUERTES-KENNEALLY L， et al. Hypokalemia as a sensitive biomarker of disease severity and the requirement for invasive mechanical ventilation requirement in COVID-19 pneumonia： a case series of 306 mediterranean patients［J］. Int J Infect Dis， 2020， 100： 449-454. |
| 38 | GAO F， WANG C T， CHEN C， et al. Effect of hypokalemia on functional outcome at 3 months post-stroke among first-ever acute ischemic stroke patients［J］. Med Sci Monit， 2017， 23： 2825-2832. |
| 39 | BRUNELLI S M， DU MOND C， OESTREICHER N，et al. Serum potassium and short-term clinical outcomes among hemodialysis patients： impact of the long interdialytic interval［J］.Am J Kidney Dis， 2017，70（1）： 21-29. |
| 40 | TRIPLETT K E， WIBROW B A， NORMAN R， et al. Can the blood gas analyser results be believed？ A prospective multicentre study comparing haemoglobin， sodium and potassium measurements by blood gas analysers and laboratory auto-analysers［J］. Anaesth Intensive Care， 2019， 47（2）： 120-127. |
| 41 | ZHANG J B， LIN J， ZHAO X D. Analysis of bias in measurements of potassium， sodium and hemoglobin by an emergency department-based blood gas analyzer relative to hospital laboratory autoanalyzer results［J］. PLoS One， 2015， 10（4）： e0122383. |
| 42 | KAMOLPORNWIJIT W， PHUPONG V. Oral potassium chloride and oral rehydration solution supplement to prevent hypokalemia in sodium phosphate regimen for bowel preparation prior to gynecological laparoscopic surgery［J］.J Med Assoc Thai，2008，91（5）：615-618. |
| 43 | VIERA A J， WOUK N. Potassium disorders： hypokalemia and hyperkalemia［J］. Am Fam Physician， 2015， 92（6）： 487-495. |
| 44 | JABBAR A A， WASE A. Worsening Wenckebach after calcium gluconate injection： not uncommon but frequently missed diagnosis［J］. Am J Emerg Med， 2013， 31（5）： 893.e5-893.e6. |
| 45 | CHANG K Y， LEE I H， KIM G J， et al. Plasma exchange successfully treats central pontine myelinolysis after acute hypernatremia from intravenous sodium bicarbonate therapy［J］. BMC Nephrol， 2014， 15： 56. |
| 46 | SCHIFFL H. Sodium bicarbonate infusion for prevention of acute kidney injury： no evidence for superior benefit， but risk for harm？ ［J］. Int Urol Nephrol， 2015， 47（2）： 321-326. |
| 47 | LAUREATI P， XU Y， TREVISAN M， et al. Initiation of sodium polystyrene sulphonate and the risk of gastrointestinal adverse events in advanced chronic kidney disease： a nationwide study［J］. Nephrol Dial Transplant， 2020， 35（9）： 1518-1526. |
| 48 | BUSHINSKY D A， SPIEGEL D M， GROSS C， et al. Effect of patiromer on urinary ion excretion in healthy adults［J］. Clin J Am Soc Nephrol， 2016， 11（10）： 1769-1776. |
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