SERUM POTASSIUM PATTERNS IN ANURIA AND OLIGURIA
1953; American College of Physicians; Volume: 38; Issue: 5 Linguagem: Inglês
10.7326/0003-4819-38-5-935
ISSN1539-3704
AutoresJames E. Hopper, Brian P. O’Connell, H.R. Fluss,
Tópico(s)Poisoning and overdose treatments
ResumoArticle1 May 1953SERUM POTASSIUM PATTERNS IN ANURIA AND OLIGURIAJAMES HOPPER JR., BRIAN P. O'CONNELL, HELLA R. FLUSSJAMES HOPPER JR., BRIAN P. O'CONNELL, HELLA R. FLUSSAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-38-5-935 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDangerous elevation of serum potassium concentration is most frequently encountered clinically in patients suffering from anuria or oliguria.1, 2, 3In our experience, however, a dangerous rise in serum potassium concentration has been relatively rare. Such an elevation occurred in only six of a group of 15 of our patients with oliguria of three to 17 days' duration. In four of the six patients there were complicating circumstances which we believe were responsible for the high serum potassium levels. In the two remaining patients the high concentration could not be attributed to any factor other than the oliguria.The pertinent features...Bibliography1. ElkintonTarailPeters JRRJP: Transfers of potassium in renal insufficiency, J. Clin. Investigation 28: 378, 1949. CrossrefMedlineGoogle Scholar2. MerrillLevineSomervilleSmith JPHDWS: Clinical recognition and treatment of acute potassium intoxication, Ann. Int. Med. 33: 797, 1950. LinkGoogle Scholar3. WinklerHoffSmith AWHEPK: The toxicity of orally administered potassium salts in renal insufficiency, J. Clin. Investigation 20: 119, 1941. CrossrefMedlineGoogle Scholar4. Danowski TS: Newer concepts of the role of potassium in disease, Am. J. Med. 7: 525, 1949. CrossrefMedlineGoogle Scholar5. Darrow DC: Medical progress: body-fluid physiology: the role of potassium in clinical disturbances of body water and electrolytes, New England J. Med. 242: 978, 1014, 1950. CrossrefMedlineGoogle Scholar6. ElkintonTarail JRR: The present status of potassium therapy, Am. J. Med. 9: 200-207, 1950. CrossrefMedlineGoogle Scholar7. Fenn WO: The role of potassium in physiological processes, Physiol. Rev. 20: 3771 1940. CrossrefGoogle Scholar8. Tarail R: Relation of abnormalities in concentration of serum potassium to electrocardiographic disturbances, Am. J. Med. 5: 828-837, 1948. CrossrefMedlineGoogle Scholar9. BillsMcDonaldNeidermeierSchwartz CEFGWMC: Sodium and potassium in foods and waters; determination by the flame photometer, J. Am. Dietet. A. 25: 304, 1949. CrossrefMedlineGoogle Scholar10. Sherman HC: Chemistry of food and nutrition, 1941, The Macmillan Co., New York. Google Scholar11. BerlinerKennedy RWTJ: Renal tubular excretion of potassium in the normal dog, Proc. Soc. Exper. Biol. and Med. 67: 542, 1948. CrossrefMedlineGoogle Scholar12. Berliner RW: Renal excretion of water, sodium, chloride, potassium, calcium, and magnesium, Am. J. Med. 9: 541, 1950. CrossrefMedlineGoogle Scholar13. McCanceWiddowson RAEM: Alkalosis with disordered kidney functions: observations on case, Lancet 2: 247, 1937. CrossrefGoogle Scholar14. MudgeFoulksGilman GHJA: The renal excretion of potassium, Proc. Soc. Exper. Biol. and Med. 67: 545, 1948. CrossrefMedlineGoogle Scholar15. SirotaKroop JHIG: Evidence suggesting renal tubular excretion of potassium in man during recovery from acute renal insufficiency, J. Clin. Investigation 30: 1082-1088, 1951. CrossrefMedlineGoogle Scholar16. ElkintonTaffel JRM: Prolonged water deprivation in the dog, J. Clin. Investigation 21: 787-794, 1942. CrossrefMedlineGoogle Scholar17. TarailElkinton RJR: Potassium deficiency and the role of the kidney in its production, J. Clin. Investigation 28: 99, 1949. CrossrefMedlineGoogle Scholar18. Borst JG: The cause of hyperchloremia and hyperazotemia in patients with recurrent massive hemorrhage from peptic ulcer, Acta med. Scandinav. 97: 68-88, 1938. CrossrefGoogle Scholar19. FerrebeeRaganAtchleyLoeb JWCDWRF: Desoxycorticosterone esters: certain effects in the treatment of Addison's disease, J. A. M. A. 113: 1725, 1939. Google Scholar20. SartoriusRoberts OWK: The effects of Pitressin and desoxycorticosterone in low dosage on the excretion of sodium, potassium and water by the normal dog, Endocrinology 45: 273, 1949. CrossrefMedlineGoogle Scholar21. Fenn WO: Deposition of potassium and phosphate with glycogen in rat livers, J. Biol. Chem. 128:297, 1939. CrossrefGoogle Scholar22. DeaneSmith NHW: The distribution of sodium and potassium in man, J. Clin. Investigation 31: 197-199, 1952. CrossrefMedlineGoogle Scholar23. AbramsLewisBellet WBDWS: The effects of acidosis and alkalosis on the plasma potassium concentration and the electrocardiogram of normal and potassium depleted dogs, Am. J. M. Sc. 222: 506-515, 1951. CrossrefMedlineGoogle Scholar24. NadlerBelletLanning CSSM: Influence of serum potassium and other electrolytes on the electrocardiogram in diabetic acidosis, Am. J. Med. 5: 838-848, 1948. CrossrefMedlineGoogle Scholar25. TalbotButlerMacLachlan NBAMEA: Effect of testosterone and allied compounds on mineral, nitrogen and carbohydrate metabolism of a girl with Addison's disease, J. Clin. Investigation 22: 583-593, 1943. CrossrefMedlineGoogle Scholar26. DanowskiElkinton TSJR: Exchanges of potassium related to organs and systems, Pharmacol. Rev. 3: 42, 1951. MedlineGoogle Scholar27. CrismonCrismonCalabresiDarrow JMCSMDC: Electrolyte redistribution in cat heart and skeletal muscle in potassium poisoning, Am. J. Physiol. 139: 667-674, 1943. CrossrefGoogle Scholar28. MillerDarrow HCDC: Relation of muscle electrolyte to alterations in serum potassium and to toxic effects of injected potassium chloride, Am. J. Physiol. 130: 747-758, 1940. CrossrefGoogle Scholar29. MillerDarrow HCDC: Relation of serum and muscle electrolytes, particularly potassium, to voluntary exercise, Am. J. Physiol. 132: 801-809, 1941. CrossrefGoogle Scholar30. Arden F: Experimental observations upon thirst and on potassium overdosage, Australian J. Exper. Biol. and M. Sc. 12: 121, 1934. CrossrefGoogle Scholar31. KeithOsterberg NMAE: The tolerance for potassium in severe renal insufficiency: a study of ten cases, Tr. A. Am. Physicians 59: 62, 1946. Google Scholar32. WinklerHoffSmith AWHEPK: Electrocardiographic changes and concentration of potassium in serum following intravenous injection of potassium chloride, Am. J. Physiol. 124: 478, 1938. CrossrefGoogle Scholar33. BullJoekesLowe GMAMKG: Renal function studies in acute tubular necrosis, Clin. Sc. 9: 379-404, 1950. MedlineGoogle Scholar34. Stock RJ: Acute urinary suppression: observations in twenty-two patients, Am. J. Med. 7: 45, 1949. CrossrefMedlineGoogle Scholar35. HopperPartridge JJW: Anuria and oliguria: a review of symptoms, pathologic physiology and mortality rates, California Med. 72: 415, 1950. Ibid: Anuria and oliguria: treatment by conservative means, case report, with determination of blood volume and Na24 space, California Med. 73: 42-53, 1950. MedlineGoogle Scholar36. Hald PM: The flame photometer for the measurement of sodium and potassium in biological materials, J. Biol. Chem. 167: 499, 1947. CrossrefMedlineGoogle Scholar37. KramerTisdall PFF: A simple technique for the determination of calcium and magnesium in small amounts of serum, J. Biol. Chem. 47: 475, 1921. CrossrefGoogle Scholar38. ShinowaraJonesReinhart GYLMHL: The estimation of serum inorganic phosphate and "acid" and "alkaline" phosphatase activity, J. Biol. Chem. 142: 921, 1942. CrossrefGoogle Scholar39. Van SlykeHiller DDA: Application of Sendroy's idometric chloride titration to protein-containing fluids, J. Biol. Chem. 167: 107-124, 1947. CrossrefMedlineGoogle Scholar40. PetersVan Slyke JPDD: Quantitative clinical chemistry. Vol. II. Methods, 1932, Williams & Wilkins Co., Baltimore. Google Scholar41. Borst JG: Protein katabolism in uremia: effects of protein free diet, infections, and blood transfusions, Lancet 1: 824-828, 1948. CrossrefMedlineGoogle Scholar42. BullJoekesLowe GMAMKG: Conservative treatment of anuric uremia, Lancet 2: 229-234, 1949. CrossrefMedlineGoogle Scholar43. ElkintonClarkSquiresBluemleCrosley JRJKRDLWAP: Treatment of potassium retention in anuria with cation exchange resin: a preliminary report, Am. J. M. Sc. 220: 547, 1950. CrossrefMedlineGoogle Scholar44. WeltPeters LGJP: Acute renal failure: lower nephron nephrosis, Yale J. Biol. and Med. 24: 220, 1951. MedlineGoogle Scholar45. Bradley SE: The pathologic physiology of uremia in chronic Bright's disease, 1948, Charles C. Thomas, Springfield. Google Scholar46. AggelerLucia PSP: Hemorrhagic disorders, 1949, University of Chicago Press, Chicago. Google Scholar47. LevineVazifdarLownMerrill HDJPBJP: "Tent-shaped" T waves of normal amplitude in potassium intoxication, Am. Heart J. 43: 437, 1952. CrossrefMedlineGoogle Scholar48. AitkenAllottCastledenWalker RSENLIM: Observations on a case of familial periodic paralysis, Clin. Sc. 3: 47, 1937. Google Scholar49. HarropBenedict GAEM: The participation of inorganic substances in carbohydrate metabolism, J. Biol. Chem. 59: 683, 1924. CrossrefGoogle Scholar50. Kerr SE: Effect of insulin and of pancreatotomy on distribution of phosphorus and potassium in blood, J. Biol. Chem. 78: 35, 1928. CrossrefGoogle Scholar51. SeldinTarail DWR: Effect of hypertonic solutions on metabolism and excretion of electrolytes, Am. J. Physiol. 159: 160-174, 1949. CrossrefMedlineGoogle Scholar52. TarailSeldinGoodyear RDWAV: Effects of injection of hypertonic glucose on metabolism of water and electrolytes in patients with edema, J. Clin. Investigation 30: 1111-1119, 1951. CrossrefMedlineGoogle Scholar53. HaldTulinDanowskiLavietesPeters PMMTSPHJP: Distribution of sodium and potassium in oxygenated human blood and their effects upon movement of water between cells and plasma, Am. J. Physiol. 149: 340-349, 1947. CrossrefMedlineGoogle Scholar54. GovanWeiseth CDWM: Potassium intoxication: report of an infant surviving a serum potassium level of 12.27 millimoles per liter, J. Pediat. 28: 550, 1946. CrossrefMedlineGoogle Scholar55. CurrensCrawford JHJD: The electrocardiogram and disturbance of potassium metabolism, New England J. Med. 243: 843, 1950. CrossrefMedlineGoogle Scholar56. Ringer S: Concerning influence exerted by each of constituents of blood on contraction of ventricle, J. Physiol. 3: 380-393, 1882. CrossrefMedlineGoogle Scholar57. Ringer S: Further contribution regarding influence of different constituents of blood on contraction of heart, J. Physiol. 4: 29-42, 1883. CrossrefMedlineGoogle Scholar58. GovanDarrow CDDC: The use of potassium chloride in the treatment of the dehydration of diarrhea in infants, J. Pediat. 28: 541, 1946. CrossrefMedlineGoogle Scholar59. MarchandFinch JFCA: Fatal spontaneous potassium intoxication in patients with uremia, Arch. Int. Med. 73: 384, 1944. CrossrefGoogle Scholar60. SalterRunels WTEA: A nomogram for cardiac contractility involving calcium, potassium, and digitalis-like drugs, Am. J. Physiol. 165: 520-526, 1951. CrossrefMedlineGoogle Scholar61. Cohen BM: Digitalis poisoning and its treatment, New England J. Med. 246: 254, 1952. CrossrefMedlineGoogle Scholar62. PayneBennettBursteinHopper FELLSGJ: Manifestations of potassium intoxication in the dog heart-lung preparation, Federation Proc. 8: 125, 1949. Google Scholar63. Castleden LI: The effect of potassium salts on cardiac irregularities, Brit. M. J. 1: 7-9, 1941. Google Scholar64. SampsonAlbertonKondo JJECB: Effect on man of potassium administration in relation to digitalis glycosides, with special reference to blood serum potassium, electrocardiogram, and ectopic beats, Am. Heart J. 26: 164-179, 1943. CrossrefGoogle Scholar65. SampsonAnderson JJEM: Therapeutic use of potassium in certain cardiac arrhythmias, Proc. Soc. Exper. Biol. and Med. 28: 163-165, 1930. CrossrefGoogle Scholar66. ZwemerLowenstein RLBE: Cortin-like effects of steroid glycosides on potassium, Science 91: 75, 1940. CrossrefMedlineGoogle Scholar67. BursteinBennettPayneHopper SGLLFEJ: Effects of potassium and lanatoside-C on the failing heart in heart-lung preparations, Federation Proc. 8: 20, 1949. Google Scholar68. LownSalzbergEnselbergWeston BHCDRE: Interrelations between potassium metabolism and digitalis toxicity in heart failure, Proc. Soc. Exper. Biol. and Med. 76: 797, 1951. CrossrefMedlineGoogle Scholar69. LownWeilerMerrillCriscitello BJJPM: Digitalis toxicity induced by the depletion of potassium through hemodialysis. In preparation. Cited by Levine, H. D., Vazifdar, J. P., Lown, B., and Merrill, J. P.47 Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Presented in abstract at the meeting of the American Federation for Clinical Research at Carmel-by-the-Sea, California, January, 1952. Received for publication December 2, 1952.From the Department of Medicine, University of California School of Medicine, San Francisco, Calif.This investigation was supported in part by a research grant, H-751, from the National Heart Institute of the National Institutes of Health, Public Health Service, and in part by a grant from the Herzstein Fund made by the University of California Medical Research Committee. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEffects of K+ and K+-induced polarization on (dV/dt)max, threshold potential, and membrane input resistance in guinea pig and cat ventricular myocardium.Störungen des Kaliumstoffwechsels und ihre klinische BedeutungThe Treatment of Acute Traumatic Renal InsufficiencyCHRONIC RENAL INSUFFICIENCY. PART I: APPRAISAL OF THE PATIENT. PART II: TREATMENT*JAMES HOPPER JR., ALFRED BOLOMEY, R. WENNESLAND 1 May 1953Volume 38, Issue 5Page: 935-954KeywordsAttentionHealth services researchHeartMedical servicesPotassiumPrevention, policy, and public healthResearch grants ePublished: 1 December 2008 Issue Published: 1 May 1953 PDF downloadLoading ...
Referência(s)