Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia
Heparin is widely used in the intensive care unit despite the risk of bleeding it can cause. Although it is rarely reported, hyperkalemia is one of the side effects associated with heparin therapy (unfractionated or fractionated heparin). It would be secondary to hypoaldosteronism by blocking the bi...
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| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2022/8613656 |
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| author | Yannick M. Nlandu Yannick M. Engole Marie-France I. Mboliassa Théodore-Junior M. Sakaji Patrick U. Kobo Patrick M. Boloko Pally K. Mafuta Joseph P. Tsangu Karel Van Echkout Jean-Pierre M. Kanku Golan Kalifa Rodolphe Ahmed Justine B. Bukabau |
| author_facet | Yannick M. Nlandu Yannick M. Engole Marie-France I. Mboliassa Théodore-Junior M. Sakaji Patrick U. Kobo Patrick M. Boloko Pally K. Mafuta Joseph P. Tsangu Karel Van Echkout Jean-Pierre M. Kanku Golan Kalifa Rodolphe Ahmed Justine B. Bukabau |
| author_sort | Yannick M. Nlandu |
| collection | DOAJ |
| description | Heparin is widely used in the intensive care unit despite the risk of bleeding it can cause. Although it is rarely reported, hyperkalemia is one of the side effects associated with heparin therapy (unfractionated or fractionated heparin). It would be secondary to hypoaldosteronism by blocking the biosynthesis of aldosterone in the adrenal gland and often appears in context of prolonged heparin therapy or inappropriate renin production in elderly, diabetic, and kidney insufficiency patients. We report a case of persistent hyperkalemia in a diabetic COVID-19 patient treated with curative heparin in the context of severe COVID-19. |
| format | Article |
| id | doaj-art-98f1dc39bdce40eba3366c1bb5d57390 |
| institution | OA Journals |
| issn | 2090-665X |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-98f1dc39bdce40eba3366c1bb5d573902025-08-20T02:10:16ZengWileyCase Reports in Nephrology2090-665X2022-01-01202210.1155/2022/8613656Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced HyperkalemiaYannick M. Nlandu0Yannick M. Engole1Marie-France I. Mboliassa2Théodore-Junior M. Sakaji3Patrick U. Kobo4Patrick M. Boloko5Pally K. Mafuta6Joseph P. Tsangu7Karel Van Echkout8Jean-Pierre M. Kanku9Golan Kalifa10Rodolphe Ahmed11Justine B. Bukabau12Intensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitIntensive Care UnitHeparin is widely used in the intensive care unit despite the risk of bleeding it can cause. Although it is rarely reported, hyperkalemia is one of the side effects associated with heparin therapy (unfractionated or fractionated heparin). It would be secondary to hypoaldosteronism by blocking the biosynthesis of aldosterone in the adrenal gland and often appears in context of prolonged heparin therapy or inappropriate renin production in elderly, diabetic, and kidney insufficiency patients. We report a case of persistent hyperkalemia in a diabetic COVID-19 patient treated with curative heparin in the context of severe COVID-19.http://dx.doi.org/10.1155/2022/8613656 |
| spellingShingle | Yannick M. Nlandu Yannick M. Engole Marie-France I. Mboliassa Théodore-Junior M. Sakaji Patrick U. Kobo Patrick M. Boloko Pally K. Mafuta Joseph P. Tsangu Karel Van Echkout Jean-Pierre M. Kanku Golan Kalifa Rodolphe Ahmed Justine B. Bukabau Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia Case Reports in Nephrology |
| title | Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia |
| title_full | Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia |
| title_fullStr | Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia |
| title_full_unstemmed | Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia |
| title_short | Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia |
| title_sort | ineffectiveness of intermittent hemodialysis in a critically ill covid 19 patient a case of persistent heparin induced hyperkalemia |
| url | http://dx.doi.org/10.1155/2022/8613656 |
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