DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20172436

Hypokalemia in hospitalized patients in tertiary care teaching hospital Belagavi, Karnataka, India: a retrospective study

Anand Lokapur, Raju Badiger, Manjunath Somannavar

Abstract


Background: Hypokalemia is well known condition in which serum potassium levels falls less than the normal level (normal range 3.5 to 5.1mmol/L). It has adverse effect on cardiac rhythm, blood pressure.1 The objective of the study was to look for causes and associated factors of hypokalemia.

Methods: Patients age, sex, potassium value and primary diagnosis of hypokalemia patients collected from tertiary care teaching hospital retrospectively. Hypokalemia patients are classified based on the severity of hypokalemia, age, sex and primary diagnosis.

 Results: Study reveals that both males and females are equally affected by hypokalemia, individuals with age between 40 to 60 are most affected and less than 20 are least affected by hypokalemia.

Conclusions: Hypokalemia is significantly associated with gastrointestinal and genitourinary disorders when compared with other disorders.


Keywords


Diuretics, Hypokalaemia, Potassium

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References


Squires RD, Huth EJ. Experimental potassium depletion in normal human subjects. I. Relation of ionic intakes to the renal conservation of potassium. J Clin Invest. 1959;38(7):1134-48.

Paice BJ, Paterson KR, Omara OF, Donnelly T, Gray JM. Lawson DH. Record linkage study of hypokalaemia in hospitalized patients. Postgrad Med J. 1986;62(725):187-91.

Krakaurer R, Lauritzen M. Diuretic therapy and hypokalemia in geriatric outpatients. Danish medicine bulletin. 1978;25(3):126-9.

Singhi S, Marudkar A. Hypokalemia in a pediatric intensive care unit. Indian Pediatr. 1996;33(1): 9-14.

Kassirer JP, Harrington JT. Diuretics and potassium metabolism: a reassessment of the need, effectiveness and safety of potassium therapy. Kidney Int. 1977;11(6):505-15.

Pickering TG, Catovsky YD. Hypokalemia and raised lysosyme levels in acute myeloid leukemia. Q J Med.1973;42(168):677-82.

Ledoux F, Bergerat JP, Vetter JM, Lang JM, Oberling F. Long term Hypokalemia in Acute Myeloid Leukemia. Arch Int Med. 1978;138(8):1287-90.

Lawson DH, Murray RM, Parker LJW. Early mortality in the megaloblastic anemias. Q J Med. 1972;41(1):1-4.

Schreiner GE, Meher. Toxic Nephropathy. American Journal of Medicine.1965;38(3):409-49.

Torres VE, Young WF, Offord KP, Hattery RR. Association of Hypokalemia, Aldosteronism and Renal Cysts. N Engl J Med. 1990;322:345-51.

Wang HH, Hung CC, Hwang DY, Kuo MC, Chiu YW, Chang JM, et al. Hypokalemia, Its Contributing Factors and Renal Outcomes in Patients with Chronic Kidney Disease. PLoS ONE. 2013;8(7):e67140.