tag:blogger.com,1999:blog-4082643038671225434.post4177158888731727475..comments2023-10-07T01:34:01.774-07:00Comments on Case of the Day: Sick 3Craighttp://www.blogger.com/profile/17072102331564743101noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4082643038671225434.post-45093630050470608232009-08-03T17:37:04.247-07:002009-08-03T17:37:04.247-07:00yes! nicely done.
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Sick 3
The EKG shows hyperkal...yes! nicely done.<br />-<br />Sick 3<br /><br />The EKG shows hyperkalemia; treatment includes calcium gluconate, sodium bicarbonate, insulin/glucose, albuterol, and kayexalate. This is tumor lysis syndrome, an oncologic emergency due to death of cancer cells causing release of potassium, phosphate, and nucleic acids into the circulation. Hyperuricemia and hyperphosphatemia can cause acute renal failure. Tumor lysis syndrome occurs with initiation of cytotoxic chemotherapy in patients with high grade lymphomas and acute lymphoblastic leukemia. Prevention includes pre-treatment with hydration and rasburicase or allopurinol. The patient here had Burkitt lymphoma and was receiving the CALBG 9251 treatment regimen.<br /><br />Sources: UpToDate; www.ncbi.nlm.nih.gov; Wikipedia.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-4470397555240359372009-08-02T16:48:53.726-07:002009-08-02T16:48:53.726-07:001. hyperkalemia?
2. CBIGK - calcium gluconate, bic...1. hyperkalemia?<br />2. CBIGK - calcium gluconate, bicarb, insulin+glucose, kayexalate<br />3. burkitt's lymphomaAlexhttps://www.blogger.com/profile/06972701448751949861noreply@blogger.com