Citation

Battefort F, Dehours E, Vallé B, Hamdaoui A, Bounes V, Ducassé JL. Case Rep. Emerg. Med. 2012; 2012(online): 323818.

Affiliation

Pôle de Médecine d'Urgences, Centre Hospitalier Universitaire de Toulouse, Place du Docteur Baylac, SAMU 31, 31059 Toulouse Cedex 9, France.

Copyright

(Copyright © 2012, Hindawi Publishing)

DOI

10.1155/2012/323818

PMID

23326708

Abstract

Introduction. Overdose of potassium is not as frequently encountered in clinical practice as hyperkalaemia due to acute or chronic renal disease. However, potassium overdoses leading to serious consequences do occur. Case Presentation. A 20-year-old nurse student presented with a cardiac arrest with asystole rhythm. Beside the patient were found four 50-mL syringes and empty vials of potassium chloride (20 mL, 10%). After initial resuscitation with epinephrine, 125 mL of a 4.2% intravenous solution of sodium bicarbonate were injected which resulted in the recovery of an effective cardiac activity. The patient recovered without sequelae. Conclusion. The difficulty in this case was to recognize the potassium poisoning. The advanced resuscitation with the use of a specific treatment helped to resuscitate the patient.

Language: en