Definition up to Treatment of High Blood Potassium (Hyperkalemia)
Potassium is a naturally-occurring mineral for health. It helps regulate blood pressure and support digestive and kidney health. Normal potassium levels in someone body are between 3.5 and 5.0 mmol/L. Abnormal elevated level of potassium (above 5.5 mmol/L) in the blood defined as hyperkalemia. Hyperkalemi is awfully scary that can lead to cardiac arrest and death.
Hyperkalemia is listed by a code in International Classification of Diseases (ICD). ICD has published to classify any diseases. This classification system includes several chapters that are expanded in a year and year. ICD arrives in its 10th revision or ICD-10 in short. icd 10 code for hyperkalemia is E87.5. This diagnosis code is in chapter 4 on section E70-E88 that are discussing about metabolic disorders. After that, we can easily find ICD-10 code for hyperkalemia in category E87.
The primary causes of hyperkalemia are kidney disfunction, potassium sifting out of cells into the blood circulation, medication and disease of the adrenal gland. Specifically, some decrease function of the kidneys that can result hyperkalemia includes:
- Lupus nephritis
- Transplant rejection
- Acute and chronic renal failure
- Obstructive diseases of the urinary tract
Hyperkalemia is not like the other diseases which show some symptoms, it can be asymptomatic aka no symptoms. But, sometimes, the patients report some problems include:
- Muscle weakness
- Tingling sensation
- Slow heartbeat and weak pulse (serious symptom of hiperkalemia)
The patients of hyperkalemia can do some treatments individually without any hospitalization if they are otherwise healthy, the ECG is normal and there are no other associated conditions. Severe hyperkalemia is suggested to treat in hospital. Some treatments to the mild hyperkalemia are:
- Watch your medication. Discontinue medications that increase your blood potassium levels.
- Do a diet low in potassium. Knowing some kind of food that increase you potassium levels is so good. After that, you can choose some foods that are low in potassium.
- Intravenous calcium to temporarily protect the heart.
- Sodium bicarbonate administration
- Medications that stimulate beta-2 adrenergic receptors
- Intravenous administration of glucose and insulin.
- Other medications known as cation-exchange resins.
- Dialysis (particularly if other measures have failed or if renal failure is present).
The treatment for hyperkalemia is also based on any underlying causes such as kidney disease, adrenal disease, tissue destruction, etc.