Sliding with the sines − fatal hyperkalemia: A case report

Table 1 Potassium levels, creatine kinase levels and treatments received

Timeline	Potassium levels (mmol/L)	CK levels (U/L)	Treatments received
Day 0	6.7	40673	IV calcium gluconate 1 g once
			Albuterol nebulization 10 mg once
			IV furosemide 40 mg once
			IV dextrose 50% 50 g once
			IV regular insulin 5 units once
			IV sodium bicarbonate 50 mEq once
			IV sodium bicarbonate 8.4% continuous infusion was started
Day 0 (2 h)	6.2	-	Hemodialysis initiated
Day 1	4.0, 4.2	37586	Daily intermittent hemodialysis continued
Day 2	4.2, 4.7	206297	Daily intermittent hemodialysis continued
Day 3, 4 AM	6.9	198294	IV calcium gluconate 1 g once
			IV dextrose 50% 25 g once
			IV regular insulin 5 units once
			PO sodium polystyrene 30 g once
Day 3, 6 AM	7.4	-	Cardiac arrest before result was out
			IV epinephrine 1mg × 3
			IV calcium chloride 1g × 2
			IV sodium bicarbonate 50 mEq × 3
			IV dextrose 50% 25 g once
			IV regular insulin 10 units once
			CRRT initiated after resuscitation

CK: Creatine kinase; IV: Intravenous; CRRT: Continuous renal replacement therapy.