Investigation of the physician response to extreme values report for hyperkalemia: Practical cooperation with outpatient service
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- AMEMOTO Hisako
- Department of Clinical Laboratory Science, Faculty of Health Care, Tenri University
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- YAMAMOTO Yoshikazu
- Department of Clinical Laboratory Science, Faculty of Health Care, Tenri University
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- SHIMOMURA Daiki
- Department of Laboratory Medicine, Tenri Hospital
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- SHIMADA Masashi
- Department of Laboratory Medicine, Tenri Hospital
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- KAMIOKA Mikio
- Department of Laboratory Medicine, Tenri Hospital
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- HATANAKA Noriko
- Department of Clinical Laboratory Science, Faculty of Health Care, Tenri University
Bibliographic Information
- Other Title
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- 外来患者の高カリウム極異常値速報と医師の対応調査―外来診療との連携強化に向けて―
Abstract
<p>Introduction: Severe hyperkalemia contains risk of cardiac arrest of requiring early treatment. Our hospital sets serum potassium level exceeding 6.0 mmol/L as extreme values, and it is announced immediately to the attending physician. In this study, we investigated the response of physicians to reports and the adequacy of the current reporting system. Methods: The subjects were 131 outpatients of one-year period with hyperkalemia extreme values. We investigated the response of physicians, hyperkalemia triggers and previous treatment, emergency treatment, electrocardiographic findings, potassium level, and potassium changes. Results: Chronic kidney disease, excessive potassium intake, and the medicament side effects accounted for 80% of trigger. 20 patients required emergency procedures. Most of the patients who were treated emergently showed exceed 7.0 mmol/L or elevated above 1.5 mmol/L. When we announced hyperkalemia to the physician, eight patients had already left the hospital. Six of eight patients responded by telephone, and one of six patient required emergency treatment. Six of 29 who required electrocardiography indicated 2.0 mmol/L higher level of potassium changes. Moreover, by the analyses of biochemical items, it was revealed that the urea nitrogen changes and the creatinine changes were useful to evaluate emergent treatment requirement. Conclusions: The hyperkalemia extreme values reporting in the outpatient were evaluated to be useful by the response of physicians. For the prediction of the patients who required emergency treatment, it was necessary to fix hyperkalemia extreme values report procedure.</p>
Journal
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- Japanese Journal of Medical Technology
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Japanese Journal of Medical Technology 73 (2), 346-353, 2024-04-25
Japanese Association of Medical Technologists
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Details 詳細情報について
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- CRID
- 1390299926126183296
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- ISSN
- 21885346
- 09158669
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed