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Cause. Most likely causes of Hyperkalemia in the patient. 1. ) The patient has chronic kidney disease and is in renal failure – GFR 15 ml/min
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Most likely causes of Hyperkalemia in the patient 1. ) The patient has chronic kidney disease and is in renal failure – GFR 15 ml/min • Compensatory mechanism for increasing distal flow rate and K secretion per nephron is decreased because there is decreased renal mass in chronic renal insufficiency 2.) The patient has diabetes - Insulin deficiency and hypertonicity promote K shift from the ICF to the ECF.
3. Intake of fruits does not necessarily cause hyperkalemia. - Huge amount of parenteral K can elicit hyperkalemia. 4. Acidosis causes shift of potassium from intracellular space into extracellular space.